Beginning January 1, 2012, any health care entity that submits electronic
standard transactions to AmeriHealth must comply with HIPAA 5010 (errata
version). After this date, version 4010A will no longer be valid.
AmeriHealth is preparing for the transition to 5010 by testing directly with
our trading partners. We ask that you speak with your trading partner (or to
whomever you submit your claims) in order to ensure that your trading partner
is compliant and ready to electronically submit standard transactions using
version 5010 by January 1, 2012. Providers should take an active role in
ensuring that their trading partners are on track with 5010 compliance.
Important billing change
A new 5010 billing requirement stipulates that providers can no longer submit a
PO Box or lockbox in the Billing Provider area on professional and
institutional claims. A physical street address must be listed for the Billing
Provider and the Service Facility location.
Inquiries
If you have specific questions about the transition to 5010, please refer to
the HIPAA 5010 Frequently Asked Questions (FAQ) found on our website at www.amerihealth.com/hipaa5010. The FAQ contains
the most current information available. We will continue to update the FAQ as
we receive new information.
Please continue to check Partners in Health Update, the NaviNet? web
portal, and www.amerihealth.com/providers for important updates and information
regarding the conversion to 5010.