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Submitting HIPAA Compliant Claims

Providers who have not started to submit HIPAA compliant transactions should have a plan in place for their eventual transition to HIPAA compliance. The Centers for Medicare/Medicaid Services (CMS) is allowing providers to transfer to the new format without penalty, as long as they can substantiate they have a working plan for the conversion. BCBSNC continues to honor the CMS contingency plan by accepting non–compliant batch transactions. However, we encourage all providers to convert by June 30, 2005, as we can only allow local proprietary batch formats while CMS supports the contingency plan. Please take the opportunity to review some of the HIPAA–related information at Electronic Solutions or contact the EDI field consultant for your region for help in answering your questions.