Federal regulations require all providers to begin submitting Version 5010 of the HIPAA transaction standards (Version 5010) by January 1, 2012. We’re in the process of updating our systems to comply with this federal requirement. Version 5010 regulates the transmission of enrollment, eligibility, remittance, and other electronic health care transactions. 

However far along you are in preparing for the Version 5010 upgrade, we can help. We're now testing with general trading partners. You should schedule testing with us if you have not already done so, or let us know if you are uncertain about when you will be ready to test, by contacting our e-business team at EDI@network-health.org or calling us at 888-257-1985.

Companion guides

• 270 Eligibility, Coverage, or Benefit Inquiry
• 271 Eligibility, Coverage, or Benefit Information
• 276 Health Care Claim Status Request
• 277 Health Care Information Status Notification
• 835 Health Care Claim Payment/Advice
• 999 Implementation Acknowledgment

FAQs

Will all providers need to submit electronic claims using Version 5010 transactions?

• Yes, all providers who currently submit Version 4010 transactions to Network Health will need to upgrade to Version 5010

How can I contact Network Health to schedule 5010 claims testing?

• E-mail us at EDI@network-health.org
• Call us at 888-257-1985

When will Network Health be ready to accept live 5010 claims?

• January 1, 2012

What if we are unable to test and go-live with Network Health on 5010 by January 1, 2012?

• January 1, 2012 is a firm federal regulatory deadline. We do not anticipate a grace period. 
• If your organization is at risk of being unable to generate and/or receive 5010 files by January 1, 2012, please contact us as soon as possible by sending us an e-mail at EDI@network-health.org or by calling us at 888-257-1985 so we can establish a remediation plan.

Where can I get more information?

• Centers for Medicare and Medicaid Services (CMS)
• Department of Health and Human Services Final Rule
• NEHEN