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Explain the necessity behind upgrading to HIPAA 5010.

Explain the necessity behind upgrading to HIPAA 5010.

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Answer #1

HIPAA 5010 was upgraded from the basic HIPAA regulation. The main necessity behind this up-gradation was:

  • To include the electronic transmission in the healthcare transaction system,
  • To provide the inquiry regarding the healthcare benefits
  • To provide online claim status
  • To support the new-use cases in the industry
  • To remove ambiguity
  • To maintain consistency across the various transactions as per NPI regulation.
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