ODS HIPAA AND CODE SETS: FEBRUARY 2011

Transaction	Transaction#	Test	Production
All implementations are the Addenda version
Professional claim/encounter	837P	2Q	3Q
Dental claim/encounter	837D	2Q	3Q
Institutional claim/encounter	837I	2Q	3Q
Eligibility request/response	270/271	3Q	3Q
Claim status request/response	276/277	3Q	4Q
Group enrollment	834	2Q	3Q
Group premium	820	3Q	4Q
Healthcare services request/response	278	3Q	4Q
Electronic remittance advice and EFT	835	2Q	3Q

Topic	Regulation date	Effective (Implementation) Date
Operating rules for eligibility and claim status	July 1, 2011	Jan. 1, 2013 (one year after 5010, nine months before ICD-10)
Operating rules for remittance advice and EFT	July 1, 2011	Jan. 1, 2014
Operating rules for claims, enrollment and disenrollment, premium payments and referrals	July 1, 2014	Jan. 1, 2016
Final rule for Unique Health Plan Identifier	ASAP	Oct. 1, 2012
Standard for electronic funds transfer	Jan. 1, 2012	Jan. 1, 2014 (same date for operating rule)
Standard and operating rules for claims attachment	Jan. 1, 2014	Jan. 1, 2016
Health plans file statement that their systems are in compliance with standards and operating rules for EFT, eligibility, claims, status, and payment and remittance advice.		Dec. 31, 2013