Tag Archives: ANSI

ERA 835 Electronic Payments

Start to finish – Instructions for using ERA 835 Electronic Payments in ChiroPulse365.

Step 1 – Sign up with your clearing house or insurance carrier to receive ERA 835 files. This entails filling out a few forms which can be obtained from your carrier/clearinghouse. The process takes anywhere from 2-8 weeks. Please note that most clearinghouses charge for this service so it may be beneficial to contact your insurance carrier directly to find out how to receive their ERA’s at no additional cost.

Step 2 – Enter the Payor ID and 835 Payer ID for each insurance carrier. Continue reading

Processing Electronic Payment 835 ERA files

An exciting add-on service is available to ChiroPulse365 subscribers which lets your office automatically input payments quickly into ledger via Electronic Payment 835 ERA files.  This is a huge time-saver for your office staff!  You can obtain the Electronic Payment 835 ERA (Electronic Remittance Advice) file from your clearinghouse/carrier and now quickly import hundreds (or thousands!) of line-item “payment” entries into the Ledger of many patients very quickly. This is not only much faster than manual entry of this payment data but the input is 100% accurate with no typos or mistakes.

The Electronic Payments add-on is available in “pre-release” to select users at NO COST! To gain early access please use the form at the bottom of this page. Upon full-release of the “Electronic Payments Add-on” all ChiroPulse365 subscribers will be given free unlimited-use of this add-on for a number of days. We know demand is high for this feature but we want to get it 100% right so during the pre-release time we’ll be sorting out a few more regional clearinghouses & carriers.  Printable View Printable View Continue reading

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 your EDI / Electronic Claims Clearinghouse
You have to chose an EDI clearinghouse first before you can submit claims which is independent of ChiroPulse. The clearinghouse prices & value-added services vary so research which would best suit your needs. We generally tell people to start looking first at mdon-line who have offered many of our ChiroPulse customers prompt service for years. You can then compare their price and services to other or local Clearinghouses. Continue reading

Electronic Claims ECS/EDI Clearinghouses & Vendors

Electronic Claims Vendors

ChiroPulse can work with almost any clearinghouse that supports industry standard formats. Listed below are a few vendors that have great customer feedback and have been compatible with ChiroPulse for years. Each clearinghouse has various options, pricing and value added services which should be considered against strictly the advertised “price”. The ability to get you quickly up and running, with correct EDI output for peculiar settings required by local insurers is important too!

MD On-Line Electronic Healthcare Solutions EDI
6 Century Drive, Parsippany, NJ 07054
Email: referrals@mdol.com
Website: www.MDOL.com
Phone: 973-753-2165

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