As of January 1, BCBSM is now operating in a dual environment, according to the latest alert from MSMS Reimbursement Advocate Stacie Saylor, CPC. BCBSM is able to receive both version 5010 and 4010 compliant transactions.

Prior to submitting version 5010, vendors and clearinghouses must pass Phase 1 and Phase 2 testing. Check with your software developer, vendor, or clearinghouse to determine if you are eligible to transmit 5010 transactions. Submission of 5010 claims before approval will result in a negative TA1 acknowledgement indicating the file failed. Read more>>