Author Archives: Support

PA and VA Medicaid Atypical Providers – ANSI 5010

If your billing Pennsylvania Medicaid or Virginia Medicaid and you are an Atypical Provider, you will need to get update version 4933 or higher. In addition, under insurance maintenance you will need to put your atypical provider number in the … Continue reading

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Medicare ANSI 5010 – CIGNA

If you submit your Medicare ANSI 5010 production files to CIGNA using the receiver id 15004 and you get a rejection stating that ISA:05 should be ’28’ then you will need to get update version 4932. This rejection will not … Continue reading

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DC Medicaid ANSI 5010 Billing

If your ANSI 5010 billing gets rejected and you are told that the file was rejected because it was sent as a dental claim, you will need to go into Insurance Companies, select the ANSI tab, and in the ANSI … Continue reading

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OASIS PPS 2012 Update

We have made a change to the PPS calculations for 2012. If you do not have version 4928 or higher you should update HHC3000. If a PPS assessment date is dated late 2011 and the episode period is 2012, our … Continue reading

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Ohio Medicaid ANSI 5010 Testing

Agencies submitting ANSI 5010 tests to Ohio Medicaid should get the most recent update version 4927 or higher. A couple of segments that were required under ANSI 4010 billing are no longer required under ANSI 5010 and will cause rejection … Continue reading

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Software Update

When performing a software update sometimes at the end of the update a message will appear telling you the computer needs to be restarted in order for the changes to take place. DO NOT RESTART THE COMPUTER. Select the option … Continue reading

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Urgent Payroll Update – FICA SS Withholding for 2012

We have just put out update version 4926 which changes the 2012 federal social security withholding to 4.2% which is the same rate as 2011. We had to wait until the last minute untill congress approved the 4.2% extension into … Continue reading

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Palmetto GBA Submitters

Palmetto GBA has informed us that we have just been approved as a software vendor for ANSI 5010 production claims. It will take them about 24 hours to complete the process on their end. For agencies that do not want … Continue reading

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Medicare – CIGNA Submitters

We have successfully ANSI 5010 tested with CIGNA and will soon appear on the approved vendor list once the paperwork is completed. They have asked us to provide them with a list of our agencies that submit to CIGNA along … Continue reading

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ANSI 5010 Response Files

With the change over to ANSI 5010 for electronic claims (835), several insurance companies have discontinued sending any response files that are readable. Instead they are only sending 999 submission acceptance files or more commonly 277CA claim status files. The … Continue reading

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