PRC Medical / StreamlineMD is excited to announce that we will begin submitting claims in the new 5010 compliant format to Emdeon and Anthem BCBS of Ohio on Wednesday November 9th, 2011.
As you already know, the Department of Health and Human Services (HHS) has issued updated standards for the electronic transmission of healthcare transactions, including: eligibility verification, claims submission, remittances, claim status, and referrals.
Covered entities including healthcare providers, health plans and clearinghouses, must upgrade from the current X12 4010 A1 version to the 5010 version by January 1, 2012.
PRC Medical / StreamlineMD is prepared for this mandate and has tested this new 5010 format successfully with its vendors.
We do not anticipate any problems, but you need to be aware that this may impact your cash flow from these payers.
Areas to review for potential problems:
- Insurance Claim Errors within StreamlinePM+TM
- Insurance Electronic Rejections
- Insurance Denials
To view a complete list of payers with Emdeon, go to: https://access.emdeon.com/PayerLists/.
If you have questions on which payers this will impact for your practice, please contact the PRC Medical / StreamlineMD HELPDESK at 1-866-460-0388.
PRC Medical / StreamlineMD will continue to keep you informed as we go live with additional vendors / payers.