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5010A1/D.0 Implementation Plan
The January 1, 2012 date to be compliant with the 5010A1/D.0 formats has not changed. However, the Centers for Medicare & Medicaid Services (CMS) enforcement of compliance with the 5010A1/D.0 standards will be deferred until March 31, 2012. The Common Electronic Data Interchange (CEDI) continues to encourage vendors to complete testing with CEDI as soon as possible and to have Trading Partners move to the 5010A1/D.0 transaction formats once approved.
Effective immediately, CEDI will begin execution of the CMS directive to maximize compliance of the 5010A1/D.0 transaction formats in order to reach full compliance no later than March 31, 2012. In accordance with this directive, the following actions will be taken:
- Vendors who have tested and been approved by CEDI for the 5010A1/D.0 transaction formats but are still submitting the 4010A1/5.1 transaction format must migrate all Trading Partners using their software to the 5010A1/D.0 transaction format no later than January 17, 2012.
- 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. To submit your testing/transition plan to CEDI, please visit the CEDI Web site http://www.ngscedi.com and click on the 5010/D.0 Implementation Information Page. Complete the "Vendor Testing/Transition Plan" form.
- All transactions must be 5010A1/D.0 compliant no later than March 31, 2012.
CEDI will continue with current enrollment processes and will not setup any new Trading Partners or add any new providers to existing Trading Partners in the 4010A1/5.1 transaction formats. The CEDI Enrollment Department will only process enrollment forms for the new 5010A1/D.0 transaction formats.
Trading Partners who have already migrated to the new 5010A1/D.0 transaction formats will not be permitted to change back to the 4010A1/5.1 transaction formats.
If you have any questions regarding this information, please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com.
Post Date 12/16/11
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