HealthSmart Ready for 5010

IRVING, TX (March, 2011) — HealthSmart urges its EDI trading partners to join in its program for testing transactions that meet the 5010 HIPAA Standards. By the end of 2010, HealthSmart began receiving 5010 compliant transactions and began end-to-end testing of the 5010 HIPAA Standards.

On January 1, 2012, the federal government will require healthcare entities to follow new standards in electronically conducting certain healthcare processes including claims, payment and eligibility. Health plans, EDI clearinghouses, and providers must move from the 4010 HIPAA Standards to the 5010 HIPAA Standards by this deadline.

The upgrade to the 5010 Standards is expected to improve efficiencies in healthcare transactions that will result in healthcare cost savings. The 5010 Standards were also developed to support the changes to a set of international codes used by healthcare providers to document diseases, signs and symptoms, abnormal findings, complaints and causes of injury or diseases in their patients. Currently, the healthcare industry uses a code set called ICD-9. In October of 2013, the expanded ICD-10 must be used.

As the different deadline approach, healthcare entities must upgrade and test their systems to accommodate 5010 Standards and prevent disruptions.

Currently, HealthSmart is testing the 5010 Standards with its submitters and payors. Testing is only part of HealthSmart's overall 5010 Implementation Project Plan to be fully compliant by January 1, 2012 and to meet the deadlines outlined by the Department of Health and Human Services.

For additional information on HealthSmart and the 5010 HIPAA Standards in relation to our EDI Clearinghouse, CLICK HERE. For more information about HIPAA and HealthSmart, CLICK HERE.

About HealthSmart Holdings, Inc.

HealthSmart Holdings, Inc., along with its healthcare-related subsidiaries, comprise an innovative healthcare solutions company serving nearly two million members and managing over $3.2 billion in claims. The company's headquarters is in Irving, Texas, and it currently maintains seven service operations around the country. The HealthSmart companies are dedicated to delivering integrated self-funded solutions by utilizing proprietary products and services, including benefit administration, provider networks, care management, prescription benefit management, primary clinic management, stop-loss solutions and innovative information system technology. The HealthSmart mission is to improve member health, reduce costs and deliver “smarter” healthcare solutions.