OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Chapter 11 Processing Insurance Claims
Processing CMS 1500 Claims
Opening the Third Party Processing Window
Open the Third Party Processing window using one of the following methods:
• Click the 3rd Party icon and select CMS Third Party.
• Click Tasks on the main window toolbar, select Third Party Processing, and
then select CMS Third Party.
Note
The Third Party Processing options may be disabled in OfficeMate
if the Home Office has selected the Centralized 3rd party billing
check box in the Preferences window.
Maintaining Third-Party Receiver Information
Open the Third Party Processing window. For more information on opening
this window, go to Opening the Third Party Processing Window on page 429.
Click the Maintenance & Options icon.
Select a third-party receiver from the Receiver drop-down menu.
Click Display.
The receiver information displays in the lower half of the window.
Type 4010A in the Version Code-National and Version Code-Local text
boxes.
Note
4010A is the current standard for the ANSI electronic file format.
If you are sending test claims to the third-party receiver, type TEST in the
Test/Prod Indicator field. If you have completed the test stage and are
sending actual claim files, type PROD in the Test/Prod Indicator field.
Complete the Receiver ID, Receiver Code, and Senders Code by typing
the information sent to you by your third-party receiver.
Ensure that the Carriage Return check box is selected, unless the receiver
specifically instructs you to send files without carriage returns.
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