Enforcement Discretion Period for Use of Updated Version 5010 Transaction Standards Ended June 30, 2012

The Centers for Medicare & Medicaid Services’ (CMS) Office of E-Health Standards and Services ended its enforcement discretion period for ASC X12 Version 5010 (Version 5010) standards on June 30, 2012. All HIPAA-covered entities must now be fully compliant with upgraded transaction standards for Version 5010 and NCPDP Versions D.0 and 3.0.
As of July 1, 2012, all complaints regarding any HIPAA-covered entity’s non-compliance with the updated standards received in CMS’ HIPAA Administrative Simplification Enforcement Tool (ASET) will be subject to enforcement action under the existing HIPAA transaction enforcement process.
If you are still experiencing issues regarding use of the Version 5010, D.0 and 3.0 standards in your transactions, you should refer to your respective clearinghouse and/or payer’s website or provider service department for assistance. For more information regarding these updated standards and additional information, please visit the Versions 5010 and D.0 & 3.0 page on the CMS website.
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