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Ansi 5010 Medical Billing Software Update Required To Meet New Electronic Medical Claims Deadline

Medical Billing Software Users Are Facing Rejections If They Have Not Upgraded To ANSI 5010 Compliant Software.


Ansi 5010 Medical Billing Software Conversion Is Problematic For Users Who Have Not Upgraded Yet,” notes Harry Selent, CEO of   "Don’t put your cash flow at risk.” warns Selent. Verify that the latest version of your insurance medical billing software or practice management system is able to create ANSI5010-compliant claims.  As more insurance payers fully adopt the ANSI-5010 standards, doctors and medical practices could see increased claim rejections from non-compliant claims.

One of the most common rejections occur when a 9-digit ZIP code is not entered for the billing provider or service facility, or when a PO Box is used instead of a street address for the billing provider.  Some payers, including Medicare, TRICARE and some state Medicaid plans, have begun rejecting electronic claims that are not in the 5010 format or do not contain certain data elements that are required for 5010.

Although the drop dead deadline for compliance has passed, the federal government has postponed enforcement of the new standards to March 31, 2012 to allow time for both doctors and insurance companies to fully comply.

Selent further advises that an upgrade to the latest version of your Medisoft Medical Billing Software practice management system is the best way to submit ANSI 5010-compliant claims.


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