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Vendor Testing/Transition Plan
Vendors who have not begun testing or are currently testing with CEDI for the 5010A1/D.0 transaction formats must submit a testing/transition plan to CEDI no later than January 17, 2012 providing how they will complete their transition to the 5010A1/D.0 transaction formats no later than March 31, 2012.
Vendor Testing/Transition Plan
Enrollment for Production 5010 and D.0
The CEDI Trading Partner 5010/D.0 Production Migration Form should only be filled out if your Vendor, Billing Service, or Clearinghouse has passed testing and requested that you move to sending production 5010/D.0 transactions. Vendors, Billing Services, and Clearinghouses that have passed testing for the 5010/D.0 transactions will be listed in a 5010/D.0 Approved Entities List on the CEDI Web site www.ngscedi.com under Resource Materials. For more information on when to complete the form, please contact your Vendor, Billing Service, or Clearinghouse.
CEDI Trading Partner 5010/D.0 Production Migration Form
Note: This form will be submitted online through the use of Survey Monkey. This will allow CEDI to process the migration requests faster and more efficiently.
Resource Materials
CEDI Top 15 5010A1 Edits  (posted 01/18/12)
NCPDP D.0 Front End Edits
Frequently Asked Questions
CMN Reference Information for 5010A1
Not Otherwise Classified (NOC) code list 
5010 Acknowledgements
All of the following files are referenced in the overview presentation provided by CMS at http://www.cms.gov/MFFS5010D0/.
These samples are generic in nature and only contain fictitious information.
CMS Acknowledgement Overview Samples 
CMS examples of the acknowledgements used in overview presentation.
- CMS_EXAMPLE_TA1.TXT
This file contains a TA1 rejecting an Interchange Envelop which had an incorrect submitter identifier.
- CMS_EXAMPLE_999.TXT
This file contains a 999 accepting a Functional Group which was accepted but contains errors.
- CMS_EXAMPLE_277CA.TXT
This file contains a 277 Health Care Claim Acknowledgement rejecting a claim which contains invalid characters.
Related Articles
Implementation of HIPAA Formats for DME Trading Partners
Related Links
New! The Medicare Learning Network® has released a new educational tool titled "5010: Taking Electronic Billing and Electronic Data Interchange (EDI) to the Next Level." This educational tool is designed to provide education on the upcoming implementation of Versions 5010 and D.0, which will replace the current version that covered entities must use when conducting electronic HIPPA transactions. It includes a timeline and list of resources related to the implementation. This product is suggested for all Medicare Fee-For-Service Providers and is available in downloadable format at http://www.cms.hhs.gov/MLNProducts/downloads/5010EDI_RefCard_ICN904284.pdf. 
5010 Information 
HIPAA Standards and 4010A1 to 5010 Comparisons
Fact sheet on HIPAA 5010 -D.0
Purchase Materials
Technical Reports Type 3
NCPDP Information
Pre-Testing Suggestions:
Vendors will need a vendor test ID with CEDI beginning with a V08.
- If you already have a test ID, you can send an e-mail to the CEDI Help Desk to reset the password, if needed, and start submitting files in the 5010 and/or D.0 formats once testing begins.
- If your test ID has been assigned but is unknown, send an e-mail to the CEDI Help Desk requesting the information. The ID and password will be sent in two separate e-mails.
- If you do not have a test ID, send an e-mail to the CEDI Help Desk to request a vendor test ID. A Trading Partner Test ID Request Form will be sent to you to request one.
- Once testing begins, vendors will be able to send claim files in the 5010 and/or D.0 formats using the test ID.
Providers will need to contact their software vendors for more information.
- Verify that the software will be able to send claims in the 5010 and/or D.0 formats.
- Discuss any testing procedures the vendor will need the provider to perform.
- Discuss any software upgrades or software installations required for the change
Contact Information
Vendors:
Providers:
- Contact your vendor for more information.
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Post Date 12/28/11
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