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First National Version 5010 Testing Day Results Now Available

Attention All CEDI Trading Partners, Billing Services, Clearinghouses, and Vendors


The Centers for Medicare & Medicaid Services (CMS) Version 5010 Team held its first National Testing Day on June 15, 2011. On National Testing Day, 349 Medicare fee-for-service (FFS) trading partners conducted testing using the Version 5010 format that all covered entities are required to use starting January 1, 2012.

From those 349 trading partners, 974 files were submitted and there were no significant error scenarios reported. Sixty-eight trading partners responded to a follow-up survey about National Testing Day. Of those who responded to the survey, 32 percent stated that they feel ready to process Version 5010 production transactions. In addition, 39 percent of the respondents stated that they were able to receive and process a 277CA while testing on National Testing Day.

The following metrics represent 5010 production transactions:

  • Part B claims processed (May and June) – 59,778
  • COB Part B claims (May and June) – 4,041
  • Trading Partners for Part B Claims and COB (as of June) – Part A - 43, Part B- 84, COB- 24
  • Eligibility inquiries (May and June) – 305,884 inquiries
CMS and the Medicare FFS Program have scheduled a National 5010 Testing Week for August 22 - 26, 2011. National 5010 Testing Week provides an opportunity for trading partners to test compliance efforts that are already underway, with the support of a real-time help desk and access to Medicare Administrative Contractors. Check the Version 5010 External section of the CMS Web site for more information about the transition to Version 5010.

Keep Up to Date on Version 5010 and ICD-10.
Please visit http://www.cms.gov/ICD10 External for the latest news and resources to help you prepare!

Post Date 08/12/11

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