Program_Memos / 2001 / AB-01-96

Why This Topic Matters

It helps organizations understand the administrative and operational requirements tied to HIPAA EDI transition activities, including testing coordination, reporting obligations, and timing for implementation across Medicare systems.

Article Sections

1. EDI Submitter Testing

   Describes the testing framework for EDI submitters, including overall testing levels, preparation expectations, and the transition timeline for moving transactions into production.

2. EDI Receiver Testing

   Covers testing expectations for receiver-side trading partners and remittance advice participants, along with timing considerations for HIPAA transaction readiness.

3. Standard System Testing Requirements

   Summarizes prerequisite testing activities that standard system maintainers must complete before contractor trading partner testing begins.

4. Contractor Testing

   Addresses contractor responsibility for end-to-end system testing and additional validation related to normal release processes.

5. Third-Party Certification Systems and Services

   Discusses the role of outside certification resources and how certification evidence may be used in the testing process.

6. Documentation

   Identifies the need to retain records related to required testing and to follow existing documentation requirements.

7. Reporting Requirements

   Lists the operational reporting data that contractors must submit, along with the reporting schedule and recipients.

8. Cost Issues

   Notes that implementation-related costs should be included in budget and performance funding requests.

9. Reporting Implementation Guide Edits

   Explains a change to earlier instructions regarding the reporting of implementation guide edit errors.