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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

September 2013

Participate in ICD-10 Validation Self-Testing


Harvard Pilgrim is inviting our providers and vendors who submit claims to us to participate in ICD-10 validation self-testing, beginning on October 1, 2013. We are initiating this test to ensure that your claims will be ready for the switch from ICD-9 codes to ICD-10 codes by the October 1, 2014 compliance date. 

Harvard Pilgrim will use the Edifecs Ramp Management application for ICD-10 validation testing. This is the same application and software program that Harvard Pilgrim employed when providers tested implementation of HIPAA 837 version 5010 claim submission. 

Claims tested in the application will be checked against the ICD-10 specific edits and syntactical correctness that will be in place at Harvard Pilgrim at the time of the ICD-10 mandate. Upon successful completion of testing, you will receive a pass/fail notification and a printable certificate. Keep in mind, however, that this is not an end-to-end test of claims and, therefore, you will not receive a claim acknowledgement or 835 electronic remittance advice.

Harvard Pilgrim has updated 837 Companion Guides to include our rules for handling ICD-10 testing. Please refer to the updated 837 professional and institutional claims companion guides for additional information on testing and set-up of claims related electronic transactions.

Also, please share this information with your ICD-10 program manager or technical support staff. If you or your organization is interested in testing 837 professional or institutional claims with Harvard Pilgrim for ICD-10 validation, contact the Harvard Pilgrim EDI Team at EDI_Team@harvardpilgrim.org or call (800) 708-4414 (option 1, then press 3). We will supply you with a user ID, password, and link to the testing website.

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Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

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Production Coordinator