​​HIPAA 5010 - Other Resources

CMS: Electronic Billing and EDI Transactions

• CMS.gov - Electronic Billing & EDI Transactions

Downloads: Crosswalks between 4010 and 5010

CMS is making the side-by-side comparison documents available to interested parties without guarantee and without cost. The documents are available for download in both Microsoft Excel and PDF formats. The comparisons were performed for Medicare Fee-for-Service business use and while they may serve other uses, CMS does not offer to maintain for purposes other than Medicare Fee-for-Service. Maintenance will be performed without notification, as needed to support Medicare Fee-for-Service.

• Professional Claim 837-P 4010A1 to 5010 Side by Side.pdf 
• Institutional Claim 837-I 4010A1 to 5010 Side by Side.pdf
• Remittance 835 4010A1 to 5010 Side by Side.pdf
• Claim Status 276/277 4010A1 to 5010 Side by Side.pdf 
• Eligibility 270/271 4010A1 to 5010 Side by Side.pdf 

Version 5010: D.O & 3.0 National Calls

Throughout the implementation of Version 5010, CMS has hosted a variety of national education calls that informed the provider community of the steps that they need to take in order to be ready for implementation. These calls also gave participants an opportunity to ask questions of CMS subject matter experts.

• CMS.gov - 5010 National Calls                                                                                                                                

ASCX12: WEDI - Document Information for 5010; Links for ordering/purchasing the Implementation Guide

• Companion Guide Principles – Guidelines and Conventions for the Development of Proprietary Companion Guides to supplement published ASC X-12 Implementation Guides
• Standard Companion Guide Transaction Information Template
• Washington Publishing Company - Store - Health Care Documentation and Reference​
  
• ASCX12 - Store - Consolidated Implementation Guides

Links to Other DHCS ​​​​​​​​​Pages