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HIPAA
CMS Invokes HIPAA Contingency Plan

After a careful analysis of Medicare provider, submitter, and other trading partner HIPAA readiness, Medicare will continue to accept and send standard and non-standard versions and/or formats for any electronic transaction for a limited time period beyond October 16, 2003.

This is a temporary measure to maintain provider cash flow and minimize operational disruption while trading partners who are not compliant on October 16, 2003, work with Medicare to achieve full compliance.

This contingency plan is only for a limited time. Providers who must continue to bill and receive non-compliant formats, should test and move into production on the HIPAA required formats as soon as possible, or risk possible cash flow problems.

Claim Transaction Version 4010A1– Currently Available

(837)


Remittance Advice Version 4010A1 – Currently Available
(835)

COB (837) Version 4010A1 – Currently Available

Claim Status Version 4010A1 – Currently Available
(276/277)*

COB Waiver Letter to Trading Partner

COB Waiver Request

Eligibility (270/271) Version 4010 – July 2003**

* Must be requested by trading partner

** CMS is targeting the implementation of 270/271 for July 2003










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