Health care organizations are bracing for impact as the industry transitions to the new 5010 electronic transaction standard that drives billing, reimbursement, many administrative functions, and accommodates the larger ICD-10 code sets. The new 5010 electronic transaction standard contains numerous modifications from its 4010 A1 predecessor, and the proposed CMS deadline of April 1, 2010 is quickly approaching. All health care organizations – payers, hospitals, physician practices, and vendors – need to start their preparations for 5010 immediately, and Ingenix can help streamline the process.


We're the industry’s electronic data interchange (EDI) experts, offering the knowledge and solutions that organizations need to implement the 5010 transaction standard. We offer a comprehensive connectivity suite of EDI solutions and services, ranging from 5010 pre-production transaction testing and certification to 5010 continuous, automated production validation routing and reporting systems. In addition, we provide basic connectivity infrastructure development, the deployment of complex direct-connect transaction portals, as well as a top-tier, nationwide clearinghouse service for providers and payers.

To keep you informed during the 5010 transitions, we’ve developed 5010 Prepared, a site that combines the background, expertise, tools and resources to help with your 5010 implementation. In the coming months, we will be adding additional features and functionality to help you make smart decisions as you navigate through the transition. For now, access our FAQ page to get answers to your immediate questions and kick-off your preparations.

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Industry Updates

5010 Final Rule Published

On January 15, 2009 the Department of Health and Human Services (HHS) released the final rule for implementing the 5010 transaction standard for health care claims, and version D.0. for pharmacy claims. The final rule indicates that trading partners have to be ready to exchange 5010 transactions starting December 2010 and can ONLY exchange 5010 transactions starting January 1, 2012, instead of the April 1, 2010 date that was originally proposed.

Also released January 15th, was the final rule regarding the implementation of the ICD-10 code sets. Similar to the 5010 implementation date, the ICD-10 implementation deadline is being pushed back two years to Oct. 1, 2013. Both final rules contain responses from HHS on the public comments that the agency received on the proposed rules.

Ingenix is ready to help you begin this important transition to 5010. Contact us today.

Ingenix 5010 Resources

Claredi Classic
The industry-leading HIPAA testing solution for pre-production transaction testing and certification

Transaction Director (Faciledi)
The leading system for continuous, automated, production validation routing and reporting between payers and their providers in a portal environment.

ENShealth
Clearinghouse and portal solutions to facilitate transaction exchanges between physicians, payers and third-party administrators

Ingenix Payer EDI Solutions

Ingenix Physician EDI Solutions

ICD-10 Prepared
Expertise, tools and resources to help you make a smooth transition to ICD-10