Originally posted by: malag

Did anyone work on EDI X12 5010?What are the major differences we find in this version compared to EDI 4010?
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Originally posted by: repanzer

You have no idea of the question you just asked, do you?
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Originally posted by: repanzer

Just so you know the question you just asked; there are over 1000 transactions in the X12 standard for any version (3050, 4010, 5010). To ask what the "major differences" are in over 1000 transactions, is very non-specific. Now if you asked about ONE of the thousands transactions and it's major differences, maybe someone can help you.
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Originally posted by: malag

Hi Rep,
You are right.I did not frame my question properly.I just want to tell you that though there are transactions numbered from 100 to 1000 there are only 197 transactions in EDI(As there are no transactions defined for several Numbers)
My question is "is there any new transaction defined in EDI 5010.Are there any extra segnments for any popular transactions like 837,850 etc..?Hope i am clear about framing my question thistime.
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Originally posted by: repanzer

See malag, I remember you. I remember you asking questions that anyone could answer themselves by reading documentation.
I count over 300.

http://www.erpgenie.com/sap/sapedi/ansix12transactionsets.htm
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Originally posted by: DianeC

If you check with the Washington Publishing Company, not only do they have the HIPAA guides, but they have the documentation needed that explains all the changes. For a fee, you can get one. There's way too many to list here.
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Originally posted by: cnordin

What people commonly refer to with "5010" is a set of healthcare transactions covered under the latest HIPAA requirements.

There are so many levels to answer your question I'll try for a techie version and hope I hit the ball home:
Here is a US Government depiction of 5010:

http://www.cms.hhs.gov/ElectronicBillingEDITrans/01_Overview.asp

The actual message changes are minute for techies -- it is all of the business behind it that can make it hard for everyone.

Payers will have to take more than one version during a cutover period.

5010 lays the groundwork for ICD-10 which is a monster (Europe and other parts of the world are already doing ICD-10 )

People are pushing for these transactions to move from batch to real time.

The 837 Claim, included in the HIPAA 5010 requirements, is amazingly complex in form and even more so in the business rules that work over, through, and underneath it.

The groups doing most of the work are Hospitals/Large Practices, Clearinghouses, and Health Insurance Companies (including US Govt).
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