Deadline to Switch to HIPAA Version 5010 835s

August 30, 2012

At this time, 4010 835s have not automatically stopped generating from MIHMS but they will do so on September 1, 2012. If you have not already made the switch to a 5010 835 you must do so by September 1, 2012. Please review the HIPAA Version 5010 835 Tip Sheet found on the MaineCare website for more detailed instructions.

Providers are encouraged to use the 2 remaining business days to test their 5010 835s to ensure that their software is compatible. You may choose the 5010 format option for one pay cycle and switch back to the 4010 format the next pay cycle, if needed. On September 1, 2012, the 4010 835 option will no longer be available on the provider portal. All providers will receive a 5010 835.

Reminder: Effective July 1, 2012, HIPAA Version 4010 transactions submitted electronically in batches to MaineCare will be rejected. If you are unable to send 5010 batch transactions electronically, you must submit your claims via Direct Data Entry (DDE) or paper.