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November 18, 2011

Blue Cross and Blue Shield of Florida HIPAA 5010 Readiness, Transition and Status (“Open-Line Friday”) “A discussion with external trading partners; senders and providers”. 9:30am-10:30am EST 1-877-215-2227 Conference ID: 50176 Passcode: 50176 900-2694-1111. November 18, 2011.

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November 18, 2011

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  1. Blue Cross and Blue Shield of FloridaHIPAA 5010 Readiness, Transition and Status(“Open-Line Friday”)“A discussion with external trading partners; senders and providers” 9:30am-10:30am EST 1-877-215-2227 Conference ID: 50176 Passcode: 50176 900-2694-1111 November 18, 2011

  2. Blue Cross and Blue Shield of FloridaHIPAA 5010 Readiness, Transition and Status • (“Open Line Friday”) Agenda • Introductions and Bridging (“A few administrative details!”) • BCBSF’s HIPAA 5010 Status Update (“Where are we?”) • Transition Metrics To-Date (“How are we doing?”) • Production Validation Process (“An update”) • 5010 BCBSF: A Consolidated View of Where We Are (“Special Topic”) • Q&A (“Open Line”) • Key Contacts

  3. Introductions and Bridging (“A few administrative details!”) • Introductions and a few administrative details: • Please send an e-mail message to HIPAA5010Support@bcbsfl.com with your contact information if you are on this call. • Please use our 5010 e-mail address (HIPAA5010Support@bcbsfl.com) for any feedback on the value of these sessions; future topics or questions you may have. • Bridging: • The federally mandated compliance date for HIPAA 5010 is January 1, 2012. • All standard covered HIPAA electronic transactions are changing. • Overall health care industry 5010 transition metrics are below expectations. • BCBSF’s “Open Line Friday” teleconference calls began on October 14, 2011: • Measurably increase the transition to 5010 through collaboration, sharing experiences and understanding our challenges. • Provide a regularly scheduled forum for 5010 dialogue with our external trading partners; senders and providers. • To recognize the value of collaboration and cooperation as we take the final steps toward compliance with 5010.

  4. Current HIPAA 5010 Status Update (“How are we doing?”) With less than 30 work days remaining, where are you?

  5. Production Validation Process (PVP) Update • Things To Remember About Our PVP: • The PVP Process is not a TEST; it is a controlled production migration activity that is designed to validate 5010 readiness between trading partners using live-production data. • To get engaged in the PVP Process, you must: • be a direct business-to-business or EDI submitter of any covered HIPAA electronic transaction; and you will need to schedule your 5010 file submission by contacting Keith Hatch @ keith.hatch@bcbsfl.com (904-905-7543). • Some New Success Stories …. With less than 30 work days remaining, do you have a success story that you can share?

  6. 5010 BCBSF: A Consolidated View of Where We Are • Initial Open-Line Friday Pilot Sessions (October 14th and 21st) • Transitioning to 5010 • In-house FAQ’s • Identifying A Provider in 5010: The NPI Challenge (October 28th) • NPI Rules of Engagement • Defining the NPI Challenge • BCBSF’s Approach to Addressing the NPI One-to-Many Challenge • What I Need To Know and What I Need To Do Now (November 4th) • Production Validation Process (“A Practical How-To Guide”) • Key Next Steps for a Provider/Electronic Transaction Trading Partner • Business Continuity and What I Need To Know (November 11th) • Key Next Steps in Building a Successful Business Continuity Plan • A Consolidated View of Where We Are (November 18th) • In-house FAQ’s

  7. Some Helpful Sources of 5010 Information • Still Need More Information? The following publically available Websites are excellent resources for 5010 information (a few examples follow): • http://www.cms.gov/Versions5010andD0 • http://www.hbma.org • http://www.mgma.com • http://www.wedi.org • http://www.ama-assn.org • http://www.himss.org/ASP/index.asp • http://www.ahima.org/Default.aspx • http://getready5010.org • http://www.bcbsfl.com • http://www.availity.com/

  8. Questions? • HIPAA5010Support@bcbsfl.com • Next Session will be held on December 2, 2011 • Suggested “Special Topic”: • “5010 BCBSF: The 30 Day Countdown Begins”

  9. Key Contacts Paul Decrosta 904-905-8007 HIPAA5010Support@bcbsfl.com Keith Hatch 904-905-7543 (for PVP) keith.hatch@bcbsfl.com George Vancore 904-905-0176 george.vancore@bcbsfl.com Next Session: Friday, December 2, 2011 Same Time/Same Call-in Numbers Thanks!

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