RelayHealth has been working on HIPAA 5010 readiness since 2009, and achieved CMS Level 1 compliance well ahead of the CMS guideline. We have been working with customers since September 2010 to prepare and assist them as they transition to 5010 compliance.
RelayHealth is able to accept 5010 files, and can also convert 4010 files to the 5010 format, or vice versa, based on what the provider is submitting and the payer is accepting. The new 5010 standards are required for the administrative and financial data exchange between healthcare providers, health plans, and covered entities for patient care services. The 5010 standards are the foundation for supporting future ICD-10 code sets and will replace 4010A1 standards currently mandated under HIPAA.
RelayHealth continues to encourage providers to upgrade their patient accounting and/or practice management systems to produce content to support either 5010 eligibility or claim transactions sent through RelayHealth. RelayHealth is committed to being part of customers' HIPAA 5010 readiness plans and are prepared to answer any questions.
We understand being 5010 compliant is a mission-critical industry initiative. Our focus is to make 5010 compliance as simple and seamless as possible for our customers, and customer communications can readily be found on the Customer Service websites. Our Customer Support and Account Executive teams are available to answer any questions customers may have.