The HIPAA 837 claims contingency period has ended. We will no longer accept claims from providers or clearinghouses that do not meet the transaction standards set forth by HIPAA.

Federal rules required the use of the HIPAA 837 format beginning October 16, 2003. On a temporary basis, we accepted electronic transactions from submitters in HCFA-1500 (professional) and UB-92 (institutional) formats after the deadline. For your convenience, we have prepared a list of Thumbs Up certified vendors who are sending HIPAA-compliant claims to us.

New healthcare professionals who want to join our networks or start submitting electronic transactions to us will need to use the HIPAA standards.

We have spent the past few years providing outreach services regarding the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This includes statewide workshops and visits to healthcare professionals' locations. We have mailed news and information bulletins. We have encouraged electronic submission of claims and made it available through My Insurance Manager. My Insurance Manager offers real-time adjudication and quicker payments. We also have created the information available here as a resource to trading partners for easy access to HIPAA transaction companion documents and information, as well as links to other useful HIPAA sites.