5010v of the HIPAA Electronic Transactions


All Providers:

To self register and begin HIPAA 5010 testing, please go to https://sites.edifecs.com/index.jsp?medicaidla.

IMPORTANT - Please continue to submit 4010 transactions to production until you are instructed by Louisiana Medicaid to do otherwise. Do not submit 5010 transactions to production until your 5010 testing has been approved and you have been specifically instructed to do so by the EDI Dept. Unauthorized 5010 transactions sent to production will be rejected.

Memos and Updates

Important Update on NCPDP D.0 and 5010 270/271 Transactions Implementation Effective January 1, 2012

Summary of Changes to the POS User Manual for November, 2011

Important Update Concerning Changes to the Electronic Claims Status Inquiry (eCSI) Application

Organizational vs. Individual NPI in 5010 Claim Transactions

New Implementation Date for 5010 Compliance

Pharmacy Provider Outreach Article

Update Regarding Changes to the electronic Claims Status Inquiry (eCSI) Web Application

Upcoming Changes to the Electronic Prior Authorization (ePA) Web Application

Upcoming Changes To The Electronic Claims Status Inquiry (eCSI) Web Application

Attention Pharmacy Providers - Update on NCPDP D.0 Implementation

Web links for 5010 Transactions

Federal Register for 5010 Transactions and ICD-10 Diagnosis Codes

5010/NCPDP D.0 Educational Article 5/31/11

 

Billing Instructions
POS User Guide - 1/17/12

Companion Guides
5010 EDI General Companion Guide - 11/14/11
820 Payment Order/Remittance Advice - 9/20/11
835 Health Care Payment-Advice Companion Guide - 10/21/11
837 Health Care Claim – Dental Companion Guide - 10/26/11
837 Health Care Claim – Institutional Companion Guide - 10/25/11
837 Health Care Claim – Institutional - LTC- Hospice Room and Board - ICFDD - ADHC Companion Guide - 10/25/11
837 Health Care Claim – Professional Companion Guide - 12/7/11
837 Health Care Claim – Professional KIDMED Companion Guide - 10/24/11
Batch MEVS – Submitters Companion Guide - 10/24/11
Claims Status Inquiry (CSI) Vendor Document - 4/11/11
Medicaid Vendor Specifications for the Point of Sale (POS) Adjudication System - 12/20/11
Medicaid Vendor Specifications Appendices for the Point of Sale (POS) Adjudication System - 10/27/11
Vendor Specifications Document for the Medicaid Eligibility Verification System (MEVS) - 1/30/12