93.9k views
25 votes
What format is mandated by HIPAA for electronic healthcare claims?

1 Answer

13 votes
HIPAA establishes and manages electronic medical transactions. Title II of HIPAA requires all providers and billers covered by HIPAA to submit claims electronically using the approved format. This format is known as ASC X12 005010. You may encounter the shorthand for this form as “HIPAA 5010.”

Hope it helps! :)
User Gavin Terrill
by
5.0k points