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Last Modified: 11/3/2021 Location: FL, PR, USVI Business: Part A, Part B

HIPAA 5010 transaction edits: January 2021 update

Due to the Health Insurance Portability and Accountability Act (HIPAA), change request 11826, and electronic data interchange (EDI) front-end updates, CMS has implemented 5010 837I transaction edits, effective January 1, 2021 with an implementation date of January 7, 2021.

Revised 5010 837I transaction edits -- Implementation January 7, 2021

Edit reference number


Type of Bill (TOB) 0322 claims can have a future date after 01/01/2021. All other TOB claims will receive A7:510:187 if a future date is reported.
Source: CR 9881
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