03.05.2014 Views

OfficeMate 10.5 Enhancements

OfficeMate 10.5 Enhancements

OfficeMate 10.5 Enhancements

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>OfficeMate</strong> <strong>10.5</strong> <strong>Enhancements</strong><br />

ANSI 5010<br />

This means that the insurance claims that you submit electronically must adhere<br />

to the new 5010 format.<br />

<strong>OfficeMate</strong> allows you to continue to send claims in the ANSI 4010 format until<br />

your clearinghouse is ready to receive claims in the new 5010 format. The<br />

following changes have been made to <strong>OfficeMate</strong> to enable you to successfully<br />

submit claims in the new ANSI 5010 format:<br />

• Per HIPAA standards, the Location Maintenance window requires that<br />

You include a full nine-digit ZIP code instead of the previous five-digit<br />

format.<br />

You use a physical mailing address; post office boxes are no longer<br />

allowed for a billing address.<br />

• Ability to convert your existing claims and activate the ANSI 5010 claim<br />

format.<br />

NOTE • Ensure that all your clearinghouses are prepared to receive<br />

claims in the ANSI 5010 format before proceeding.<br />

• If your clearinghouses are not ready to receive claims in the<br />

ANSI 5010 format, do not proceed with these instructions,<br />

but rather continue to send claims in the 4010 format.<br />

• Once you convert your <strong>OfficeMate</strong> claims and activate the<br />

ANSI 5010 format, you cannot go back to the 4010 format.<br />

To convert your claims and activate the ANSI 5010 format, open <strong>OfficeMate</strong><br />

Administration, click Setup, select Third Party Setup, click the Options<br />

tab, click Convert 4010 to 5010.<br />

• In addition to the format changes, the 5010 requirements also changed the<br />

requirements for some of the qualifiers used in insurance claims. If you had<br />

previously selected a qualifier that has been discontinued, your selection is<br />

<strong>OfficeMate</strong> <strong>10.5</strong> <strong>Enhancements</strong> 35

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!