We may not be ready to submit 5010 transactions on January 1, 2011. Can we still use Availity?
Since the 5010 Rules have such broad implications across the health care industry, it is understandable that organizations will be in varying stages of readiness during the next several months as they plan and implement new processes. Some Availity information trading partners (and some payers) are working toward a readiness date of January 1, 2011 to accept 5010 transactions, and some won’t be ready to accommodate 5010 transactions until later in the year. For this reason, beginning January 1, 2011, Availity will automatically “up-convert” incoming 4010A1 transactions in order to deliver outbound 5010 transactions for exchange with those organizations ready to receive them, and conversely, will “down-convert” incoming 5010 transactions to the 4010A1 format, for exchange with partners who have not yet achieved readiness. This assures that all Availity Submitters/Providers can submit transactions in the format preferred by their organizations, and all Receivers/Payers can receive transa