EDI ANSI 5010 Migration

Under the authority of HIPAA, healthcare organization must update their standards for the following electronic healthcare transactions to version 5010: 837 Prof & Inst, 835 Remittance, 270/271 Eligibility and 276/277 Claim Status.

Hayes can help your organization migrate to the 5010 standard, allowing your internal resources to focus on other priorities. Following is a brief summary of our approach.

Hayes’Approach:

  • 5010 Gap Analysis: Hayes consultants identify differences between current 4010 formats and new 5010 formats, validate system readiness for 5010 and establish goals and objectives for 5010 compliance.
  • 5010 Migration: Then, we translate 4010 formats to new 5010 formats, establish testing plans and identify departments and users affected by 5010 implementation.
  • 5010 Testing: Our thorough testing includes a complete 5010 compliance testing as well as a carrier-specific 5010 testing.
  • 5010 Training: Hayes prepares workflow change documentation, provides 5010-specific training plans and delivers this training to appropriate staff.

Hayes subject matter experts ensure that your migration to 5010 is done in the most timeand cost-effective manner.We provide adequate support staffing for go-live and the transition period so that your business operations are uninterrupted.

For more information about this service, please email info@hayesmanagement.com.