HIPAA Transaction Code Set 5010: Implications and Opportunities

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Executive Summary

The intent of this paper is to facilitate understanding of the challenges and advantages around the implementation of the Accredited Standards Committee (ASC) X12 005010 Technical Report Type 3s (TR3s) which was adopted as final rule on January 15, 2009. The appropriate implementation and use of this new standard can improve and simplify administrative electronic transactions and provide value to all healthcare stakeholders. This paper provides a summary of this new administrative transaction code set, outlines key implications and anticipated opportunities, and provides practical guidelines for implementation of the standard.

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