Have You Tested HIPAA Version 5010 Transactions with MaineCare?

December 27, 2011

It’s the final push – the transition to HIPAA Version 5010 is around the corner! If your organization submits electronically in batches to MaineCare, you must complete certification testing via the MIHMS MyHealthPAS online portal.

Testing resources are available. Visit the MaineCare HIPAA 5010 webpage for background information, testing instructions, and Frequently Asked Questions.

If you submit HIPAA Version 4010 transactions electronically in batches, this applies to you.

If you are a provider that uses a clearinghouse or billing agent, you do not need to test with MaineCare at this time. However, please verify that your clearinghouse or billing agent is completing HIPAA Version 5010 certification testing with MaineCare.

The shift to HIPAA Version 5010 will not affect paper or Direct Data Entry (DDE) claims.