HIPAA 5010 Readiness – Recently, we have received several inquiries regarding the upcoming version 5010 change to the HIPAA X12 transaction code set standards. These transactions standards cover: healthcare claims and encounter information, payment and remittance advice, claims status, eligibility, enrollment and disenrollment, referrals and authorizations, coordination of benefits and premium payments.

We use EDI-Health Group's DentalXChange as our electronic insurance partner. Please see this statement from their ClaimConnect website regarding this:

HIPAA 5010 Readiness

DentalXChange is diligently working on the new HIPAA 5010 compliance standards that are required by January 1, 2012. Our site has recently been updated to allow you to take advantage of the new features and we are testing with our payer partners to move to the new formats with them. The actual change in connectivity to the payers will take time, but rest assured DentalXChange has scheduled our resources to accomplish all changes necessary by the compliance dates. If a payer tells your office that you are not 5010 compliant, please let them know that your clearinghouse is working on your behalf.

You may visit their website at http://www.dentalxchange.com/ or contact them at 800.576.6412 ext. 452 for further questions concerning this upcoming version change. Be assured that they are working on your behalf to ensure compliance!