ANSI Version 5010

On Jan. 1, 2012, all HIPAA-covered entities adopted the American National Standards Institute (ANSI) v5010 to promote increased use of electronic data interchange (EDI) transactions between all covered entities. ANSI v5010 is the foundation of health information technology (HIT) and a necessary step to the upcoming conversion to ICD-10.

ANSI v5010 includes more than 850 structural, technical and content changes to the data submitted with electronic claims, as well as the data received in response to other electronic inquiries, such as eligibility and benefits, or claim status.

Questions? Need assistance?

Visit the ANSI v5010  section of the Centers for Medicare & Medicaid Services (CMS) website for materials and resources