MedicaidAdministrativeHigh impact
Newsletter Vol. 11, No. 37
New Jersey Medicaid·NJ·Provider Notice
Effective date
Oct 16, 2002
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is implementing HIPAA-compliant electronic transaction standards (837, 835, 276/277, 270/271, 278, 820, 834) effective October 16, 2002. All providers submitting electronic claims must transition from current non-HIPAA formats to HIPAA standards by this mandatory date. Voluntary adoption is permitted starting July 1, 2002.
Action Required
By October 16, 2002: All billing staff and electronic submitters must ensure that billing software and claim submission processes are upgraded to comply with HIPAA transaction standards (837 Professional/Institutional/Dental for claims, 835 for remittance advice, 270/271 for eligibility inquiry/response, 276/277 for claims inquiry/response, 278 for referrals/authorization, 820 for premium payments, 834 for benefit enrollment). Contact billing agents/electronic submitters immediately to verify software upgrades are in progress according to HIPAA specifications. Update all claim submission workflows to use only HIPAA-compliant formats. After October 16, 2002, the New Jersey Medicaid program will NOT accept claims in non-HIPAA formats (current formats), and non-compliant claims will be rejected. Providers may voluntarily begin submitting HIPAA transactions starting July 1, 2002 for early testing.