Electronic Data Interchange (EDI)
The Health Insurance Portability and Accountability Act (HIPAA) is the federal regulation that requires the use of standard X12 transactions to report and inquire about health care services. If you use electronic transactions, the current version is 4010A1. The new version of the standards is called 5010. You must implement HIPAA 5010 by January 1, 2012. Given the complexities of the conversion, you must begin preparing for the transition now. After January 1, 2012, version 4010A1 will no longer be valid.
HIPAA 5010
- 5010 Companion Guide
- 5010 Frequently Asked Questions
- 5010 Readiness Statement
- 5010 Trading Partner Migration Frequently Asked Questions
- 5010 What's Changing
Visit this page frequently as we make updates to help you prepare for the compliance date of January 1, 2012.
Registration
Trading Partner Agreement
Trading Partner Registration Form
Electronic Remittance Advice (ERA) Application Form
Electronic Funds Transfer (EFT) Application Form
Documents
Claims Processing Information
4010A1 HIPAA Companion Guide
Implementation Checklist
Contact Information
The EDI Solutions Help Desk is available Mondays - Fridays from 8 a.m. to 4:30 p.m EST.
Phone: 800-470-9630
Email: BlueChoiceSCEDI@wellpoint.com
News and Bulletins
Find out more about Electronic Data Interchange.