Category Archives: CMS-1500/ANSI

CMS-1500 HCFA Claim Form (02-12) Readiness w/ 12 ICDs

ChiroPulse365 (refresh x.1401+) is ready for the new CMS-1500 2014 (02-12) paper form that most carriers will be accepting 4/1/2014. This form (and “plain text EDI file) adds some new fields & qualifiers that applies to paper/print.  All PIN/Overrides are available as used before with prior claim forms (print & electronic). Three “invoices” typically apply:

  1. Paper Printed: CMS-1500 Form 2014 (Revision 02-12)
  2. Electronic Submission: Plain Text 2014 (typically requires one-time “mapping” by your clearinghouse)
  3. Electronic Submission: ANSI837 5010 EDI format (fields and qualifiers to not apply to this format) Continue reading

ANSI-837 EDI Loop Info (5010)

The Information below cross references ANSI-837 X12 Loop/Segment/Fields to the location in ChiroPulse where the info appears when creating an EDI file field. Use and search (CTRL+F or search box on the upper right) this info then go into ChiroPulse and modify any errant data. Then recreate the EDI file & resubmit the claim. Continue reading

Electronic Claims Submission: start to finish

Choose a Clearinghouse to provide EDI / Electronic Claims Service
Your office must select an EDI clearinghouse to accept the electronic claims that are generated by ChiroPulse. Clearinghouse prices & value-added services will vary so please determine your office needs. We generally tell people to start looking first at Ability who have offered many ChiroPulse offices prompt service for years. You can then compare their price and services to other or local Clearinghouses. Click Here for info on a few good EDI Clearinghouses that we recommend and/or have received good feedback from actual customers about. Continue reading