5010 Certification Countdown

May 15, 2012

Congratulations to the 96% of MaineCare Trading Partners who have become HIPAA Version 5010-certified. For those who still need to complete certification testing, there are 30 business days left to do so. Start today!

MaineCare strongly encourages HIPAA Version 5010 certified trading partners to utilize the new transaction standard now. Some providers have submitted a small batch of 5010 claims as a trial to confirm that they are correctly configured to submit HIPAA Version 5010 claims. In order to receive a HIPAA Version 5010 835, HIPAA Version 5010-certified providers need to update their trading partner profile via the MIHMS Health PAS Online Portal. Please review the HIPAA Version 835 Tip Sheet found on the HIPAA 5010 webpage for more detailed instructions.

If your organization submits electronically in batches to MaineCare, you must complete certification testing by June 30, 2012. To certify, log in to the MIHMS Health PAS Online Portal. If you are unable to submit HIPAA Version 5010 transactions after June 30, 2012, you will be required to submit via Direct Data Entry (DDE) or through paper claims. On July 1, 2012, any HIPAA Version 4010 transactions submitted electronically in batches to MaineCare will be rejected.

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.