How will Capario determine the format sent to the payer during the 2011 transition period?
Each payer will determine the effective date in which they will begin receiving the new 5010 format. Capario will continue to accept legacy formats (4010A1, NSF 3.0 and CMS 1500 Print Image) and will “up convert” or “down convert” to the payer’s preferred format. For paired transactions (270/271 Eligibility and Benefits Inquiry and Response, 276/277 Claim Status Inquiry and Response, etc.), due to Capario’s ability to “up convert” and “down convert” the response returned to the submitter will be in the same version as the initial inbound inquiry transaction.
