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The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required healthcare entities to convert from the existing Accredited Standards Committee (ASC) X12 version 4010 transaction standard to the new ASC X12 version 5010 transaction standard by January 1, 2012. This requirement directly impacted the following transactions:

• Electronic Remittance Advices 835
• Electronic Claims 837I / 837P / 837D

Blue Cross & Blue Shield of Mississippi (BCBSMS) has complied with each deadline for accepting ASC X12 5010 transactions, and we have worked with providers to ensure a smooth transition to the new format. As we previously notified providers, both ASC X12 version 4010 and 5010 transactions would be accepted through June 30, 2012. On July 1, 2012, the ASC X12 4010 837 claim transaction along with the 835 remittance transaction will no longer be accepted by BCBSMS.

If your system has not been converted to the 5010 transaction set to meet CMS compliance, you may download and use the 5010 compatible BCBSMS software to submit your claims. Follow the instructions below to download these products.

EMC Plus Download instructions:

1. Click on the "Form Download" link on the myAccessBlue home page (under "Information & Downloads" in the left side navigation column).
2. Review the EMCPlusv6_Installation_Instructions.pdf for important information about the software.
3. Download and execute EMCPlusv6.msi.

Hospital EMC Download instructions:

1. Click on the "Form Download" link on the myAccessBlue home page (under "Information & Downloads" in the left side navigation column).
2. Review the HospitalEMCv5_Installation_Instructions.pdf for important information about the software.
3. Download and execute HospitalEMCv5.msi.

Dental ESC Download instructions:

1. Click on the "Form Download" link on the myAccessBlue home page (under "Information & Downloads" in the left side navigation column).
2. Review the DentalESCv2_Installation_Instructions.pdf for important information about the software.
3. Download and execute DentalESCv2.msi.

Please Note: You must review the Installation Instructions prior to installing the software to prevent the loss of important data.

For more information regarding the CMS Version 5010, D.0 and 3.0 Standard Enforcement Discretion Period, refer to the CMS website at
https://www.cms.gov/ICD10/02b_Latest_News.asp#TopOfPage.

For more information regarding HIPAA regulations, refer to the CMS web site at http://www.cms.hhs.gov/HIPAAGenInfo/.

For more information regarding ASC X12 version 5010, refer to the CMS web site at http://www.cms.gov/ElectronicBillingEDITrans/18_5010D0.asp#TopOfPage.

BCBSMS is available to assist you with HIPAA 5010 claims testing now and throughout the CMS enforcement discretionary period. To schedule claims testing, please contact EDI Services at 1-800-826-4068, or email ediservices@bcbsms.com.

Have a Healthy Day!