5010 Remittance Starts Today

Today is the day remittance for 5010 begins. You will find improvements over the old 4010 system of remittance advice.

Version 5010 introduces some significant improvements over ASC X12 version 4010. For example,  in version 5010, the Health Policy Segment will report the National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). In addition, the 835 will have a website where the specific LCD or NCD code is explained. You will have access to the code as well as the code description. The 5010 version of the 835 also will contain technical contact information not currently in version 4010. Version 5010 contains new segments such as coverage expiration date and claim received date, which will help providers access important information without manual intervention.

CPB : Online Medical Billing Course

Let your Medicare contractor know you want to receive the version 5010 835.

For more information on ASCX12 version 5010 and NCPDP version D.0, please visit CMS’ Versions 5010 and D.0 website.


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