HIPAA - Version 5010 Transactions in EIM/ESM

Information and instructions about EIM/ESM's implementation of the 5010 standards.
""Picture of open book

The Centers for Medicare & Medicaid Services (CMS) mandated that on January 1, 2012, the standards for electronic health care transactions must change from version 4010/4010A1 to version 5010/5010A1. This includes claim submissions through the HIPAA interface with EIM/ESM.

Refer to the information and links below for more details about the EIM/ESM's implementation of the 5010 standards.

EIM/ESM Companion Guide to HIPAA Compliant Electronic Data Interchange Transactions

  • Companion Guide Ver. 8

    Important! The Enterprise Invoice Management/Enterprise Service Management Companion Guide to HIPAA Compliant Electronic Data Interchange Transactions has been updated for 5010. The Companion Guide provides clarification for how to use 5010 within the EIMESM system. The Companion Guide does not take the place of the CMS Implementation Guide which provides the rules of HIPAA compliancy.

  • 005010 HIPAA Implementation Guides

  • HIPAA Standards

  • Need Assistance?

  • If you have questions about 5010 as it relates to your software vendor, clearinghouse, or billing intermediary, please contact them.
  • If you have any questions about EIM/ESM 5010 send your inquiry to EHS-DL-EIM-ESMBusinessOperations@massmail.state.ma.us or contact Virtual Gateway Customer Service at 1-800-421-0938 (TTY: 617-847-6578).

HIPAA Job Aids

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) job aids provide guidance on how to read and reconcile HIPAA Claims Files in EIM.

Feedback

Did you find what you were looking for on this webpage? * required
We use your feedback to help us improve this site but we are not able to respond directly. Please do not include personal or contact information. If you need a response, please locate the contact information elsewhere on this page or in the footer.
We use your feedback to help us improve this site but we are not able to respond directly. Please do not include personal or contact information. If you need a response, please locate the contact information elsewhere on this page or in the footer.

If you need to report child abuse, any other kind of abuse, or need urgent assistance, please click here.

Feedback