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Companion Guide for the 5010 Transaction Format
The Companion Guide for the 5010 transactions is now available on the CEDI Web site under Technical Specifications at the following link http://www.ngscedi.com/TechnicalSpec/techindex.htm.
This guide contains information regarding the following transactions; the 837 claim format, the 835 remittance notice, and the 276/277 transaction in the 5010 format. This is intended as a reference to be used in addition to the ANSI ASC X12 Technical Reports (TR3). This document references only Medicare DMEPOS specific information. The TR3 (5010) can be downloaded for a fee at http://www.x12.org. 
The timeline for implementing the 5010 and 5010A1 837 claims format is:
- January 2011 – Vendors and those who do their own programming (also referred to as in-house programmers) may begin testing 5010.
- April 2011 – Vendors and those who do their own programming (also referred to as in-house programmers) may begin testing 5010A1.
- April – December 2011 – Once vendors have passed testing for 5010A1, they may begin moving their customers into production.
- April – December 2011 – Once in-house programmers have passed testing of 501A1, they may move into production.
- January 1, 2012 – Only 5010A1 transactions will be allowed.
At this time, only testing of the 5010 837 and NCPDP D.0 claim formats are available through CEDI. We will send more information regarding the testing the 5010/5010A1 versions of the 835 Electronic Remittance Advise and 276/277 Claim Status Inquiry/Response transactions as they become available.
If you have any questions, please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com.
Post Date 02/07/2011
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