Humana 835 Remittance Advice Transaction Now in HIPAA 5010 Format
On Jan. 1, 2012, the Centers for Medicare & Medicaid Services will require that all electronic transactions submitted by health plans, health care clearinghouses, health information trading partners, health information networks and health care providers must be in the form of the new ANSI Version 5010 (v5010) standards set forth by the Health Insurance Portability and Accountability Act (HIPAA). (Please note that CMS has announced that it will not begin enforcing this requirement until March 31, 2012, instead of Jan. 1, 2012, as originally planned.)
In preparation to meet this deadline, Humana has upgraded the 835 remittance advice transaction to the v5010 standard. This means that as of January 4, 2012, all remittances sent to Humana's trading partners, along with the remittances available via download on Humana.com, will now be in HIPAA X12 5010 format.
If a health care provider submits a v4010-formatted claim, Humana will generate a v5010-formatted 835 transaction to the provider's clearinghouse. The clearinghouse then has the responsibility of translating to a v4010 remit.
If you have any questions regarding this transition, please contact ProviderConnect@Humana.com.
