Due to the Health Insurance Portability and Accountability Act (HIPAA), change request 11341, and electronic data interchange (EDI) front-end updates, the Centers for Medicare & Medicaid Services has implemented 5010 837P and 837I transaction edits, effective January 1, 2020 with an implementation date of January 6, 2020. [CR 9881]
First Coast Service Options Inc. (First Coast) has implemented the PWK (paperwork) segment of the X12N version 5010. This allows for submission of supporting documentation with a version 5010 electronic claim. [CR 10397]
The Centers for Medicare & Medicaid Services (CMS) is in the process of implementing operating rules adopted under Section 1104 of the Affordable Care Act.
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