One of the most common rejections occur when a 9-digit ZIP code is not entered for the billing provider or service facility, or when a PO Box is used instead of a street address for the billing provider.  Some payers, including Medicare, TRICARE and some state Medicaid plans, have begun rejecting electronic claims that are not in the 5010 format or do not contain certain data elements that are required for 5010.

Although the drop dead deadline for compliance has passed, the federal government has postponed enforcement of the new standards to March 31, 2012 to allow time for both doctors and insurance companies to fully comply.

Selent further advises that an upgrade to the latest version of your Medisoft Medical Billing Software practice management system is the best way to submit ANSI 5010-compliant claims.