Only 12 Business Days to Certify for HIPAA Version 5010!

March 14, 2012

Only 12 Business Days to Certify for HIPAA Version 5010!

If your organization submits electronically in batches to MaineCare, you must complete certification testing by March 31, 2012. To certify, you must log in to the MIHMS Health PAS Online Portal. MaineCare will continue to accept HIPAA Version 4010 transactions through March 31, 2012.

On April 1, 2012, any HIPAA Version 4010 transaction submitted to MaineCare will be rejected.

If a trading partner is unable to submit HIPAA Version 5010 transactions after March 31, 2012, the trading partner will be required to submit via Direct Data Entry (DDE) or through paper claims.

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

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.

MIHMS Provider inquires can be directed to 1-866-690-5585.