As part of implementing HIPAA Version 5010 for claims, eligibility, and remits, your Trading Partner Agreement(s) must be modified.  Here is the link to the new form: http://www.ncdhhs.gov/dma/hipaa/5010Appendix2.pdf

This is required before you can send tests.  The items to be checked are:

Professional Claim: ASC X12N 837 005010X222A1 - Health Care Claim: Professional

Institutional Claim: ASC X12N 837 005010X223A2 - Health Care Claim: Institutional

Health Care Payment and Remittance Advice: ASC X12N 835 005010X221A1 - Health Care Payment/Advice

Health Claim Status: ASC X12N 276/277 005010X212 - Health Care Claim Status Request

Eligibility for a health plan: ASC X12N 270/271 005010X279A1 – Health Care Eligibility Benefit Inquiry and Response

Implementation Acknowledgment for Health Care Insurance ASC X12 999 005010