5010 and ICD-10 Update
5010 UPDATE: As you are aware, our industry is facing many challenges right now as the result of payers shifting to the new 5010 format. Capario is coordinating with these payers to resolve issues as quickly as possible. We have already converted the majority of our payers to 5010 and are on track to meet the CMS extended deadline enforcement date of June 30, 2012. We continue to work with organizations such as the American Medical Association and the Cooperative Exchange to share issues we’ve identified and to raise the market's general awareness of these issues.
Please be assured that we will continue to process legacy formats for those providers who either aren’t converting or who will not meet the deadline. We will offer dual processing in which we will have the ability to “up convert” legacy inbound formats (4010A1, NSF 2.0, NSF 3.01, CMS 1500 Print Image) in order to deliver outbound 5010 transactions to entities ready to receive 5010 transactions. In addition Capario will “down convert” inbound 5010 transactions to outbound legacy formats for entities not ready to receive 5010 transactions. This process will allow providers and vendors to submit in their preferred format, and allow payers to receive in their preferred format. 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. Even with the updated proposed deadline of October, 2014, Capario recommends that providers and payers alike continue moving forward with their ICD-10 preparations as originally planned. We 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. You can find more information about ICD-10 readiness on our Capario Insight blog.
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
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.
