Are you ready for 5010?
5010 UPDATE: As you are aware, the healthcare industry is working through its first full month with the new ANSI 5010 format. Our industry is facing challenges right now as the result of payers shifting to this new format, and we are coordinating with the payers to resolve these issues as quickly as possible. Capario is also working with organizations such as the American Medical Association and the Cooperative Exchange to share the issues we're collectively identifying and to raise the market's general awareness of these issues. We have posted a report of these issues on our portal for our customers to reference. If you are a current Capario portal customer, just log into the portal as usual to view the issues report. Non-portal users can access their login information by clicking here and following the instructions in Step #2. There will be an issues tab at the top of the page in the main menu where you can view the entire list or just a quick overview of the latest issues. As new issues are identified, the report will be updated.
Please be assured that this is our highest priority. Capario has increased our support staff in anticipation of this transition; however, all payers and trading partners are seeing increased response times when researching inquiries. Please feel free to contact us at any time.
ICD-10 Update: The conversion to ICD-10 will have a major impact across the entire healthcare industry, but taking proactive steps will help manage the risk. Capario will be monitoring HHS updates to the timeline and will be prepared to incorporate changes for ICD-10 ahead of the deadline. If you have any questions or concerns please email us at ICD-10@capario.com.
Capario has successfully completed the implementation of 5010 for real-time transactions (Claim Status and Eligibility) and is now in 5010 production with the following transactions:
- 837 Professional
- 837 Institutional
- 835 Remittance
- 270/271 Eligibility Request/Response
- 276/277 Claim Status Request/Response
Capario’s guidelines and technical information can help you determine if, and when, you should convert to 5010. If you will not be submitting claims in v. 5010 by January 1, 2012, please review our important information here. Failure to do so could result in delayed claims and delayed payments.
Access the 5010 FAQ for additional information on 5010 and working with Capario
Access the 5010 Companion Guide - Your Guide to Transacting with Capario for everything you need to know to successfully submit claims and receive ERAs and reports.
5010 Testing
Capario’s flexible self-testing tool offers you the ability to implement each transaction according to your own timeline. The 5010 self-testing tool can be accessed by logging into Capario’s Portal. Current portal users will log in using their existing password. Non-portal users can access their log-in information by clicking here.
Learn how Capario will “up convert” and “down convert” your transactions by accessing our Translation Business Rules.
Learn about Capario’s readiness plan and important industry information about 5010 and ICD-10.
Contact Capario about 5010 at 5010@capario.com.
