Emdeon

HIPAA X12 Version 5010, NCPDP D.0, and ICD-10


Emdeon is testing with our submitters and payers. Please visit the Testing page for more information.

We've published free resources on our Downloads page that will help our clients with HIPAA readiness.

HIPAA Simplified. Your One-Stop Shop.


Technical Gap Analyses with Errata Testing Tools
Business Simplified Gap Analyses with Errata Submitter & Payer Guidance
Frequently Asked Questions Common Issues & Challenges


We've developed HIPAA Simplified to help our clients prepare for HIPAA readiness for the affected transactions:


  • 270/271 - Health Care Eligibility Benefit Inquiry and Response
  • 276/277 - Health Care Claim Status Request and Response
  • 278 - Health Care Services - Request for Review and Response; Health Care Services Notification and Acknowledgment
  • 835 - Health Care Claim Payment/Advice
  • 837 - Health Care Claim: Professional , Institutional, and Dental, including coordination of benefits (COB) and subrogation claims
  • NCPDP D.0 - Pharmacy Claim

As part of Emdeon's commitment to guiding our clients through the transition to HIPAA X12 Version 5010 standards, we have completed a thorough gap analysis between versions 4010 and 5010, which we are using to enhance all of our systems and products to support the modified HIPAA transaction sets. We are also on schedule to be well-ahead of the January 2012 compliance date for the mandatory transition to HIPAA X12 Version 5010 standards. We will provide guidance for ICD-10 at a later date.

In order to better facilitate joint implementation planning, Emdeon is committed to understanding your HIPAA plans and timeline. We would appreciate your sharing any issues, ideas, challenges, or concerns with your knowledgeable Emdeon Account Representative.

Thanks for trusting Emdeon as your source for HIPAA readiness. Just as with X12 Version 4010 and with the National Provider Identifier (NPI), we are working diligently to deliver solutions that enable our customers to seamlessly meet the new requirements for X12 Version 5010, NCPDP D.0, and ICD-10.

Bookmark HIPAA Simplified and check back often. We'll update the site with new information as we approach the hard deadlines for the transition.

Please note that this information is provided by Emdeon for education and awareness use only. While Emdeon believes that all the information on this website is correct as of September 2011, Emdeon does not warrant the accuracy, completeness or fitness for any particular purpose of this information. All use is at the reader's own risk. The information provided here is for reference use only and does not constitute the rendering of legal, financial, or other professional advice or recommendations by Emdeon.