Only submitters who send directly to Arkansas Blue Cross and Blue Shield need to
complete the forms listed below. If you are using a clearinghouse or vendor to submit
claims, the clearinghouse or vendor is expected to test on your behalf.
Before a submitter can begin 5010 testing they must complete the following 5010
Contact Information form below.
5010 Production Request
After successful testing has been completed, the Move to Production for Private
Business form must be completed before sending production claim files. If
you are submitting Private Business claims (Arkansas Blue Cross Blue Shield, Health
Advantage, BlueAdvantage, Federal Blue Cross (FEP)), only one Move to Production
form is required. However, if you also submit Medicare claims, you must complete
a separate Move to Production for Medicare form.
Other helpful links for providers:
Washington Publishing Company Health Care Code Sets
Central Version 005010 and D.0 webpage on CMS website