HIPAA: 2005 Electronic Transactions Archive
The following are links to updates for billers of electronic
transactions published in 2004. For more information about the
Health Insurance Portability and Accountability Act (HIPAA),
in-state providers can call the Telephone Service Center (TSC) at
1-800-541-5555 (border providers and out-of-state billers billing
for in-state providers, call [916] 636-1200).
Inpatient Provider Cut-off Date for Proprietary and Non-HIPAA Standard Electronic Claim Formats: December 1, 2005 – In accordance with efforts to comply with the federally mandated Health Insurance Portability and Accountability Act (HIPAA), Medi-Cal is planning to discontinue acceptance of proprietary and non-HIPAA standard electronic formats for electronic claim transactions.
November 2005
Self-Service HIPAA Transaction Utility Tool – Beginning November 2005, HIPAA Transaction Utility Tool, a self-service environment, will be available for submitters.
October 2005
837 Transaction Companion Guides Updated – Beginning October 24, 2005, Medi-Cal will receive crossover claims directly from approved providers/submitters who bill electronically using the ASC X12N 837 v.4010A1 Professional and Institutional transactions.
September 2005
Linking Paper Attachments to Point of Service (POS) Device Health Care Claims Coming Soon – Beginning October 24, 2005, providers may link paper attachments to their 837 v.4010A1 Professional electronic health care claims submitted through the Point of Service (POS) device.
September 2005
November 2005 Code Conversions – Effective for dates of service on or after November 1, 2005, providers billing for respiratory care services, hearing aids or select procedures in combination with specific modifiers (-YQ, -YS, -ZK, -ZU and -ZV) must follow new billing instructions.
August 2005
Claim Status Request/Response Batch Transactions Now Available – The new ASC X12N 276/277 Claim Status Request/Response Batch Transaction in the 4010A1 format is now available on the Internet.
June 2005
Batch Internet Eligibility Transactions Now Available – The new ASC X12N 270/271 Batch Eligibility Inquiry and Response Transaction in the 4010A1 format is now available on the Internet.
June 2005
Final Phase Out of Non-HIPAA Standard Electronic Formats for Eligibility Transactions (Deadline Extended) – In order to accommodate the size and complexity of the transaction and code set projects, Medi-Cal has been implementing the federally mandated Health Insurance Portability and Accountability Act (HIPAA) standards in multiple phases.
June 2005
Electronic Claims with Paper Attachments Now Available – Providers can now link paper attachments to 837 v.4010A1 electronic claim submissions.
May 2005
Volunteers Needed for Beta-Testing of 276/277 Batch Transactions – EDS, the Medi-Cal fiscal intermediary, is seeking volunteers to beta-test the 276/277 Version 4010A1 Health Care Claim Status Request and Response batch transactions.
March 2005
Inpatient Provider Cut-off Date for Proprietary and Non-HIPAA Standard Electronic Claim Formats: December 1, 2005 – In accordance with efforts to comply with the federally mandated Health Insurance Portability and Accountability Act (HIPAA), Medi-Cal is planning to discontinue acceptance of proprietary and non-HIPAA standard electronic formats for electronic claim transactions.
November 2005
Self-Service HIPAA Transaction Utility Tool – Beginning November 2005, HIPAA Transaction Utility Tool, a self-service environment, will be available for submitters.
October 2005
837 Transaction Companion Guides Updated – Beginning October 24, 2005, Medi-Cal will receive crossover claims directly from approved providers/submitters who bill electronically using the ASC X12N 837 v.4010A1 Professional and Institutional transactions.
September 2005
Linking Paper Attachments to Point of Service (POS) Device Health Care Claims Coming Soon – Beginning October 24, 2005, providers may link paper attachments to their 837 v.4010A1 Professional electronic health care claims submitted through the Point of Service (POS) device.
September 2005
November 2005 Code Conversions – Effective for dates of service on or after November 1, 2005, providers billing for respiratory care services, hearing aids or select procedures in combination with specific modifiers (-YQ, -YS, -ZK, -ZU and -ZV) must follow new billing instructions.
August 2005
Claim Status Request/Response Batch Transactions Now Available – The new ASC X12N 276/277 Claim Status Request/Response Batch Transaction in the 4010A1 format is now available on the Internet.
June 2005
Batch Internet Eligibility Transactions Now Available – The new ASC X12N 270/271 Batch Eligibility Inquiry and Response Transaction in the 4010A1 format is now available on the Internet.
June 2005
Final Phase Out of Non-HIPAA Standard Electronic Formats for Eligibility Transactions (Deadline Extended) – In order to accommodate the size and complexity of the transaction and code set projects, Medi-Cal has been implementing the federally mandated Health Insurance Portability and Accountability Act (HIPAA) standards in multiple phases.
June 2005
Electronic Claims with Paper Attachments Now Available – Providers can now link paper attachments to 837 v.4010A1 electronic claim submissions.
May 2005
Volunteers Needed for Beta-Testing of 276/277 Batch Transactions – EDS, the Medi-Cal fiscal intermediary, is seeking volunteers to beta-test the 276/277 Version 4010A1 Health Care Claim Status Request and Response batch transactions.
March 2005