• Prepare Now For HIPAA 5010 Requirements
• ICD-10 Program Overview

5010 Implementation-Changes to Provider Claims Formats

As of January 1, 2012, all BlueCare/TennCareSelect claims must be submitted in the 5010 format. This impacts electronic claims, as well as claims submitted on the CMS-1450 and CMS-1500 paper claim forms.  All providers listed on claims must be reported in a manner that is compliant with established guidelines.  Additional information may be found in the documents below.

Letters to Providers

• VSHP Provider Letter
• BCBST Provider Letter
• HIPAA 5010 Compliance Update

Usage Grid

• Using the HIPAA Compliance Self-Testing Web Tool  

• 4010 Testing (Unavailable)
• Begin New 5010 Testing 
• Approved Vendor List Request Form 

• 5010 Frequently Asked Questions
• EDI Secondary Claims (Institutional)
• EDI Secondary Claims (Professional)
• Corrected Claim Guidelines

• ICD10 Frequently Asked Questions

• Center for Medicare and Medicaid Services CMS (formerly HCFA)
• Washington Publishing Company 
• Workgroup for Electronic Data Interchange (WEDI) 

• Center for Medicare and Medicaid Services (CMS)
• Workgroup for Electronic Data Interchange (WEDI)
• Implementation Handbooks
• Tennessee Medical Association