HIPAA 5010 Transition Approach - Checklist
Upgrading healthcare systems to HIPAA 5010 standards involves a thorough analysis of processes and systems to assess their impact on health plans, providers, and clearing houses.
There are two approaches for a smooth transition to HIPAA 5010:
In this approach, organizations need to downgrade inbound 5010 transactions to 4010, pass the downgraded version through downstream applications for processing, upgrade the returning documents to 5010 – and finally push it through the Electronic Data Interchange (EDI) gateway.
From a strategic standpoint, organizations need to remediate all downstream applications – core, transactional and peripheral – to comply with the mandate. They have to focus on back-end processes, such as claims adjudication engine and eligibility system, rather than the front-end EDI gateway or mapper software.
Learn more about Infosys offerings for HIPAA 5010
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