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Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits – July 2012 Version

The purpose of this Change Request (CR) is to provide the July 2012 updated edits spreadsheets to specific Part A and Part B (A/B) MACs which are, as of this time, in a position to implement 5010, specifically the following Jurisdictions: J1, J3, J4, J5, J9, J10, J11, J12, J13, J14, and J15, as well as the Common Electronic Data Interchange (CEDI) contractor. Other MACs, not currently in a position to implement 5010, must provide level of effort estimates only if they will be in a position to
become 5010 operational prior to the effective date of this CR. A/B MACs currently in Corrective Action Plan or under a protest condition need not reply to this CR at this time. A future CR will address these MAC jurisdictions.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 26, 2012

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.