(888) 799-4777
  • Medisoft
 

Medisoft ANSI & Lytec ANSI 5010- Frequently Asked Questions

Government mandated changes on all Electronic Claims Submission could jeopardize your practice if you don’t make the necessary changes. If you are not sending your electronic claims according to the HIPAA requirements of ANSI 5010 your claims will be rejected. It is crucial that you understand these drastic changes and are ready for them so you don’t experience huge disruptions in your cash flow.

What is ANSI 5010? Can it really be that important?

ANSI 5010 is the new version of HIPAA transaction standards that regulates the electronic transmission of healthcare transactions. The 5010 standards will replace the existing 4010 / 4010A1 version. 5010 changes will support the forthcoming ICD-10 coding.

If getting paid is important to you- then Yes; Preparing for ANSI 5010 is not only important, but critical, essential, A MUST (is that clear enough?)

How do I prepare for ANSI 5010?

Upgrade to Medisoft Version 17 or Lytec 2011 both are ANSI 5010 ready and will protect your cash flow.The software contains all the data fields necessary to generate ANSI 5010 enabled claims. And to make things easier on you the software also includes drop-down menus and the English equivalent of codes to help guide billers. As a result, billers don’t have to be expert coders (or memorize a bunch of new codes) in order to submit claims with the correct information the first time.

Set up your software to Send 5010 Claims

Change Office Workflow such as Demographic entry and Charge entry

Work closely with your clearinghouse and/or payers to ensure you are meeting the new requirements. Every clearinghouse and payer is handling this change differently so they are by far the best source to contact to understand why rejections are happening and how to fix them. Obviously this change is drastically affecting everyone so expect higher wait times when calling them.

When must the transition to ANSI 5010 be complete?

ANSI 5010 standards went into effect January 1, 2012 with a grace period until March 31, 2012. Payers decide when they will begin accepting only 5010 claims within that time frame. Contact your clearinghouse/payers to understand which claims you should be submitting.

What if my clearing house says they will make the necessary changes so I don’t have to upgrade my software?

Currently most rejections reported are from those using older versions of software that are not 5010 compliant where the clearinghouse is attempting to “up-convert” the data. This practice is risky and is not recommended.

Following is a list of 5010 changes that are most likely to result in rejected claims if not handled properly. We encourage you to have a conversation with your clearinghouse to determine how it will address these changes if your software is not ANSI 5010 compliant.

  • 9-Digit ZIP Code: The 5010 standards require a 9-digit ZIP code for the billing provider and service facility location. If a 9-digit ZIP code is not sent when 5010 goes into effect, your clearinghouse may add a default for the missing last four digits. If a payer does not accept a default, they may reject the claim.
  • Billing Provider Address: The billing provider address must be a physical street address. As payers transition to using the 5010 standards it is expected they will begin requiring an address for billing providers and reject a PO Box or lock box. Payers may enforce this change at any time as they prepare for and complete the transition to 5010.
  • Provider Accept Assignment Code: This data element was changed from a situational to a required data element with 5010. Claims may be rejected if they do not contain a valid value for payers that are live on 5010.
  • Release of Information Code: Several Release of Information Code values in HIPAA 4010 are no longer valid in 5010. As payers move to version 5010, providers may experience claim rejections when the Release of Information Code contains a value of A, M, N, or O. The 5010-allowed values are “I” (Informed Consent to Release Medical Information for Conditions or Diagnoses Regulated by Federal Statutes) and “Y” (Yes, Provider has a Signed Statement Permitting Release of Medical Billing Data Related to a Claim). 
  • Subscriber/Patient Hierarchical Level Changes: If a patient can be uniquely identified to the destination payer in Loop 2010BB by a unique Member Identification Number, then the patient is the subscriber or is considered to be the subscriber and is identified at this level, and the patient HL in Loop 2000C is not used. Providers should review registration processes to ensure this information is captured appropriately. Medicare and Medicaid recipients are identified uniquely. Blues and commercial plans vary. Member ID cards should be reviewed for unique member assigned identifiers.
  • Remaining Patient Liability: This is a new segment and is the remaining amount to be paid after the adjudication by the Other Payer identified in Loop 2330B/2400. This data is required to balance the claim.

What are some of the fields that changed or were added to meet the new requirements?

Practice Information

  • Practice Email

Patient / Guarantor Information

  • Race- Based on the US Census Guidelines

-American Indian or Alaskan Native (I)

-Asian (A)

-Black (B)

-Caucasian (C)

-Other (E)

-Pacific Islander (P)

  • Ethnicity- Based on US Census Guidelines

-Hispanic (H)

-Non-Hispanic (N)

  • Language
  • Death Date

Case Policy 1 Tab

  • Group Name

Case Policy 2 Tab

  • Medicare Secondary Reason (only if Insurance 2 is Medicare)

-Black Lung (41)

-Disabled Beneficiary Under Age 65 with LGHP (43)

-End-Stage Renal Disease (13)

-No-fault Insurance including Auto is Primary (14)

-Other Liability Insurance is Primary (47)

-Public Health Service (PHS) or Other Federal Agency (16)

-Veteran’s Administration (42)

-Worker’s Compensation (15)

-Working Aged (12)

Case Conditional Tab

  • Nature of Accident

-Injured at home

-Injured at school

-Injured during recreation

-Work Injury / Self Employed

-Work Injury / Non-Collision

-Work Injury / Collision

-Motorcycle Injury

Clearinghouses agree- the safest way to protect your cashflow and avoid rejections is to use ANSI 5010 Compliant Software.

Call 877.243.8881 to order your 5010 compliant software.

Customer Testimonials

Michael S. Barnett, MD.

“Jay Zorro went above and beyond the call of duty. Not only did he fix a chronic computer problem, but he continues to assist with future anti virus control. He took a dedicated effort to my problem, thought about it and fixed it. I am very pleased. He is an excellent employee.”

- Michael S. Barnett, MD.

AZCOMP Technologies
2015-05-21T09:33:40+00:00

- Michael S. Barnett, MD.

“Jay Zorro went above and beyond the call of duty. Not only did he fix a chronic computer problem, but he continues to assist with future anti virus control. He took a dedicated effort to my problem, thought about it and fixed it. I am very pleased. He is an excellent employee.”

Kennetha, Dr. Mira Zelin.

“First of all I was especially appreciative of the fact that I was able to speak to a “person” each time I called, even if someone had to call me back. Sales and Tech support were very friendly and professional and knowledgeable. I was and knew exactly what to do. I was very satisfied. Thanks.”

- Kennetha, Dr. Mira Zelin.

AZCOMP Technologies
2015-05-21T09:35:34+00:00

- Kennetha, Dr. Mira Zelin.

“First of all I was especially appreciative of the fact that I was able to speak to a “person” each time I called, even if someone had to call me back. Sales and Tech support were very friendly and professional and knowledgeable. I was and knew exactly what to do. I was very satisfied. Thanks.”

Christine, Pros Medical Service.

“All the people I have dealt with at AZCOMP have been helpful and professional. Would give all an A++”

- Christine, Pros Medical Service.

AZCOMP Technologies
2015-05-21T09:38:37+00:00

- Christine, Pros Medical Service.

“All the people I have dealt with at AZCOMP have been helpful and professional. Would give all an A++”

Maria, Sugarland EMS.

“AZCOMP has a great staff, always helpful to resolve any tech issue.”

- Maria, Sugarland EMS.

AZCOMP Technologies
2015-05-21T10:08:00+00:00

- Maria, Sugarland EMS.

“AZCOMP has a great staff, always helpful to resolve any tech issue.”

Michael, Michael S. Barnett MD.

“Adjusting to the tech world for an old geezer like me was quite and emotional challenge. My hand was held the entire way by the supportive staff at AZCOMP. There were plenty of struggles and lots of stops and starts, be we did it. I find it hard to imagine going back to non-electronic records. Through every struggle it was easy to get the help I needed. Things work well now, and I cannot thank the staff enough for their support.”

- Michael S. Barnett MD.

AZCOMP Technologies
2015-05-21T10:10:07+00:00

- Michael S. Barnett MD.

"Adjusting to the tech world for an old geezer like me was quite and emotional challenge. My hand was held the entire way by the supportive staff at AZCOMP."

Joleen, Office manager for Family Chiropractic Optimal Health and Nutritin.

“Paul made my whole day! I can’t write down exactly what I told him in excitement of fixing our datapath, etc. but in so many words he was my hero! I was so excited as we had not been able to send claims for approximately two weeks. Paul was very helpful and it would be my pleasure to have him assist us again if needed. He knows his stuff!”

- Joleen, Office manager for Family Chiropractic Optimal Health and Nutritin.

AZCOMP Technologies
2015-05-21T10:11:27+00:00

- Joleen, Office manager for Family Chiropractic Optimal Health and Nutritin.

“Paul made my whole day! I can’t write down exactly what I told him in excitement of fixing our datapath, etc. but in so many words he was my hero! I was so excited as we had not been able to send claims for approximately two weeks. Paul was very helpful and it would be my pleasure to have him assist us again if needed. He knows his stuff!”

John, Lake Gregory Chiropractic.

“Service was very fast and professional. They took care of the problem literally within minutes of the phone call. YOU are my support company from now on!”

- John, Lake Gregory Chiropractic.

AZCOMP Technologies
2015-05-21T10:13:39+00:00

- John, Lake Gregory Chiropractic.

“Service was very fast and professional. They took care of the problem literally within minutes of the phone call. YOU are my support company from now on!”

Casey, All Around Accounting.

“Thank you so much for your help today. I really appreciate how quickly we were able to get my new helpful report added and working. This was the best Christmas present ever! Thank you so much. I believe you just made my job, with the way that I do it, much much more efficient.”

- Casey, All Around Accounting.

AZCOMP Technologies
2015-05-21T10:14:18+00:00

- Casey, All Around Accounting.

“Thank you so much for your help today. I really appreciate how quickly we were able to get my new helpful report added and working. This was the best Christmas present ever! Thank you so much. I believe you just made my job, with the way that I do it, much much more efficient.”

Judy, Douglas Bailes

“AZCOMP has always been very supportive, even if they don’t have the answer right at the time of the call (which isn’t very often). I like the honesty when they say they are not sure, but will check with other support tech’s and get back with me. One person doesn’t know all of the answers so this shows that you have good team work within your office staff. The results then can overflow onto your customers. Thank you for all that you do.”

- Judy, Douglas Bailes

AZCOMP Technologies
2015-05-21T10:15:43+00:00

- Judy, Douglas Bailes

“AZCOMP has always been very supportive, even if they don’t have the answer right at the time of the call (which isn’t very often). I like the honesty when they say they are not sure, but will check with other support tech’s and get back with me. One person doesn’t know all of the answers so this shows that you have good team work within your office staff. The results then can overflow onto your customers. Thank you for all that you do.”

Carolyn, Blackstone Physical Therapy

“You guys are awesome!! I think you help me even when you don’t have to!! THANK YOU!!”

- Carolyn, Blackstone Physical Therapy

AZCOMP Technologies
2015-05-21T10:16:10+00:00

- Carolyn, Blackstone Physical Therapy

“You guys are awesome!! I think you help me even when you don’t have to!! THANK YOU!!”

Stephanie, Healthcare Billing Solutions

“Ever since I started with this company I feel so much better than any previous company I had in the past. This company has helped us in all we need and has done a fantastic job. Thank you very much, also the staff are wonderful!”

- Stephanie, Healthcare Billing Solutions

AZCOMP Technologies
2015-05-21T10:17:50+00:00

- Stephanie, Healthcare Billing Solutions

“Ever since I started with this company I feel so much better than any previous company I had in the past. This company has helped us in all we need and has done a fantastic job. Thank you very much, also the staff are wonderful!”

Kristin, Foot Surgical Center PC.

“I have always had awesome service and very quick replies. The last time my call back was extremely fast! Always very helpful.”

- Kristin, Foot Surgical Center PC.

AZCOMP Technologies
2015-05-21T10:17:17+00:00

- Kristin, Foot Surgical Center PC.

“I have always had awesome service and very quick replies. The last time my call back was extremely fast! Always very helpful.”

Tawnya Strum

“Five Star service!!! Our practice became an AZCOMP Customer in early 2013 and we were immediately wowed at the outstanding level of customer service we received. From the moment we called we felt important and very well taken care of. The sales team took excellent care of us and the technical support team has done a fabulous job every time we have needed them! The training sessions are informative and helpful and the staff are always willing to go the extra mile to make sure we understand changes and updates to the system. Thank you to the entire team - we appreciate your excellent service!!! :) Pain Specialists of Orange County”

- Tawnya Strum

AZCOMP Technologies
2015-05-21T10:21:42+00:00

- Tawnya Strum

“Five Star service!!! Our practice became an AZCOMP Customer in early 2013 and we were immediately wowed at the outstanding level of customer service we received. From the moment we called we felt important and very well taken care of. The sales team took excellent care of us and the technical support team has done a fabulous job every time we have needed them! The training sessions are informative and helpful and the staff are always willing to go the extra mile to make sure we understand changes and updates to the system. Thank you to the entire team - we appreciate your excellent service!!! :) Pain Specialists of Orange County”

Pauline Hastings

“Couldn't be any better unless we got cookies. Service is at least a 5 star or more. Sad to say we left AZCOMP for a short time but now we are back to stay. Once you have the best nothing else compares. The support team is out of this world. Don't know what we would have done without Paul, Robbie, Shelly and Maggie just to name a few. We never have to wait for a call back with any type of issue we may be having. Love these guys.
AZCOMP you are the best and we thank you.”

- Pauline Hastings

AZCOMP Technologies
2015-05-21T10:22:40+00:00

- Pauline Hastings

“Couldn't be any better unless we got cookies. Service is at least a 5 star or more. Sad to say we left AZCOMP for a short time but now we are back to stay. Once you have the best nothing else compares. The support team is out of this world. Don't know what we would have done without Paul, Robbie, Shelly and Maggie just to name a few. We never have to wait for a call back with any type of issue we may be having. Love these guys. AZCOMP you are the best and we thank you.”

Dan Logan D.C. Logan Chiropractic

“I would like to thank everyone at AZCOMP. I just recently started working with this great company. The quality of there products are great. However, it is there customer service that sets them apart. From top to bottom, whether it be the sales team or the technical support team, the service and attention to detail is first rate! Thank you to everyone I have had the pleasure to speak with. Thank you for the excellent service! ”

- Dan Logan D.C. Logan Chiropractic

AZCOMP Technologies
2015-05-21T10:24:08+00:00

- Dan Logan D.C. Logan Chiropractic

“I would like to thank everyone at AZCOMP. I just recently started working with this great company. The quality of there products are great. However, it is there customer service that sets them apart. From top to bottom, whether it be the sales team or the technical support team, the service and attention to detail is first rate! Thank you to everyone I have had the pleasure to speak with. Thank you for the excellent service! ”

Carolyn Dixon Collins

“Azcomp Technical support is phenomenal!!!! They have helped me so much!!!!! I would definitely recommend them!! Thank you Azcomp!!! Keep up the good work!!!”

- Carolyn Dixon Collins

AZCOMP Technologies
2015-05-21T10:25:03+00:00

- Carolyn Dixon Collins

“Azcomp Technical support is phenomenal!!!! They have helped me so much!!!!! I would definitely recommend them!! Thank you Azcomp!!! Keep up the good work!!!”

Sabrina Leal

“I love AZComp! No matter who you speak with, the staff is friendly and they will work with you until the job is done! I am still learning all the ins and out of Medisoft, but what ican not figure out or if I run into trouble - AZComp is there! They respond in a timely manner as soon as I send them a support ticket request, and they diligently work with me to find a good time for me talk to them. Every tech there I have spoken to has been very knowledgeable with great customer service! Keep up the good work!
Pro-Care Medical Center”

- Sabrina Leal

AZCOMP Technologies
2015-05-21T10:26:02+00:00

- Sabrina Leal

“I love AZComp! No matter who you speak with, the staff is friendly and they will work with you until the job is done! I am still learning all the ins and out of Medisoft, but what ican not figure out or if I run into trouble - AZComp is there! They respond in a timely manner as soon as I send them a support ticket request, and they diligently work with me to find a good time for me talk to them. Every tech there I have spoken to has been very knowledgeable with great customer service! Keep up the good work! Pro-Care Medical Center”

Sharon Barnett

“With all of the ICD-9 to ICD-10 regulatory and coding changes coming our way, AZComp has been there every step of the way. It is easy to set up a ticket and response time is phenomenal. Each and every tech we've spoken to to resolve issues with our software or billing has been knowledgeable and helpful. They've made a scary process not so difficult after all. Thank you!!”

- Sharon Barnett

AZCOMP Technologies
2015-05-21T10:26:43+00:00

- Sharon Barnett

“With all of the ICD-9 to ICD-10 regulatory and coding changes coming our way, AZComp has been there every step of the way. It is easy to set up a ticket and response time is phenomenal. Each and every tech we've spoken to to resolve issues with our software or billing has been knowledgeable and helpful. They've made a scary process not so difficult after all. Thank you!!”

Cody Steinhoff

“Our recent experience with AZCOMP, as a new client, was outstanding. We called looking for immediate technical help as a Medisoft Value Added Reseller. Within an hour, we had a return call from technical support and a very personable and knowledgeable support technician. All employees involved were very easy to deal with and, gratefully, very eager to help us out. We would very highly recommend AZCOMP.”

- Cody Steinhoff

AZCOMP Technologies
2015-05-21T10:28:13+00:00

- Cody Steinhoff

“Our recent experience with AZCOMP, as a new client, was outstanding. We called looking for immediate technical help as a Medisoft Value Added Reseller. Within an hour, we had a return call from technical support and a very personable and knowledgeable support technician. All employees involved were very easy to deal with and, gratefully, very eager to help us out. We would very highly recommend AZCOMP.”

Deborah Holden

“I had my server removed from our office as well and my backup. Kevin and all the support people went over and beyond to get me up and running again very quickly. All the service team was very supportive and I even received e-mails and follow up calls just to make sure that all was working well. They felt my pain that I was going through and help me through a very tough time. I have worked with other companies in the past and you could tell it was just a job. With this company it is more personalized and they truly enjoy what they do and enjoy ensuring that all your needs as a customer are met. Again thanks team for a job well done. I had thought friendly customer service was something from the past but they have restored my faith in customer service and customer support. I would encourage anyone needing tech support that this is the only place that I will even go again. May God richly bless each and every team member there. Thank you so much”

- Deborah Holden

AZCOMP Technologies
2015-05-21T10:28:58+00:00

- Deborah Holden

“I had my server removed from our office as well and my backup. Kevin and all the support people went over and beyond to get me up and running again very quickly. All the service team was very supportive and I even received e-mails and follow up calls just to make sure that all was working well. They felt my pain that I was going through and help me through a very tough time. I have worked with other companies in the past and you could tell it was just a job. With this company it is more personalized and they truly enjoy what they do and enjoy ensuring that all your needs as a customer are met. Again thanks team for a job well done. I had thought friendly customer service was something from the past but they have restored my faith in customer service and customer support. I would encourage anyone needing tech support that this is the only place that I will even go again. May God richly bless each and every team member there. Thank you so much”

Kristl Harbour

“From the very first phone call that I made to AZCOMP it has been nothing but a pleasant experience!! Every time I call, with ANY question, (which some have been pretty dumb ;) ) they have always helped me right away and helped me get through my problem. I will never use any other software company but AZCOMP!”

- Kristl Harbour

AZCOMP Technologies
2015-05-21T10:29:53+00:00

- Kristl Harbour

“From the very first phone call that I made to AZCOMP it has been nothing but a pleasant experience!! Every time I call, with ANY question, (which some have been pretty dumb ;) ) they have always helped me right away and helped me get through my problem. I will never use any other software company but AZCOMP!”

Raven Wood

“I can't thank the AZ COMP crew enough. I think I have, over the past almost 4 years, bothered them almost once a week. They are truly phenomenal !! Experts in the field-- get us up and running all the time--on time. We are a busy office practice and when computers/ software don't function properly can shut you down-- but the team at AZ COMP is always there and the problem is resolved in no time. From training us to keeping us "on schedule" as to updates and fixes we couldn't ask for more. Besides, they all have a great personality and sense of humor...I love working with a group of happy professionals and recommend them every chance I get.”

- Raven Wood

AZCOMP Technologies
2015-05-21T10:30:51+00:00

- Raven Wood

“I can't thank the AZ COMP crew enough. I think I have, over the past almost 4 years, bothered them almost once a week. They are truly phenomenal !! Experts in the field-- get us up and running all the time--on time. We are a busy office practice and when computers/ software don't function properly can shut you down-- but the team at AZ COMP is always there and the problem is resolved in no time. From training us to keeping us "on schedule" as to updates and fixes we couldn't ask for more. Besides, they all have a great personality and sense of humor...I love working with a group of happy professionals and recommend them every chance I get.”

Devon Melba Forbes

“AZCOMP Technologies is just phenomenal. I am so pleased with my recent purchase. I was able to speak to Shaun, who is just awesome, and he was as always, super informative. I was able to get quotes and information regarding what system would be best for the company. The tech support is awesome. Tech support goes above and beyond to assist you with any issue you may have. Mike and Russ are great and always patient, considerate, and most of all very kind and courteous. Keep up the great work! You have a customer for life!”

- Devon Melba Forbe

AZCOMP Technologies
2015-05-21T10:31:15+00:00

- Devon Melba Forbe

“AZCOMP Technologies is just phenomenal. I am so pleased with my recent purchase. I was able to speak to Shaun, who is just awesome, and he was as always, super informative. I was able to get quotes and information regarding what system would be best for the company. The tech support is awesome. Tech support goes above and beyond to assist you with any issue you may have. Mike and Russ are great and always patient, considerate, and most of all very kind and courteous. Keep up the great work! You have a customer for life!”

Tammy Parks

“AZCOMP really does a great job with our practice in all areas of support and training. They're always there to get you back on track when "things" don't run as smooth as you'd like. Thanks AZCOMP for all you do!”

- Tammy Parks

AZCOMP Technologies
2015-05-21T10:32:04+00:00

- Tammy Parks

“AZCOMP really does a great job with our practice in all areas of support and training. They're always there to get you back on track when "things" don't run as smooth as you'd like. Thanks AZCOMP for all you do!”

Mo Soulati

“My experience with AZCOMP has extraordinary. I have the ability to either log in and create a ticket explaining my issue or sending an email to their support team. Instantly I get a email back a ticket number that they are looking into my issue. Without any delays I either get a call back or an email on how to resolve my issue. They represeantives are very kind and help resolve the issue as simple as possible. I have had great experiences with AZCOMP and would recommend them to anyone. Using electronic medical records has been really to use and understand with their help.”

- Mo Soulati

AZCOMP Technologies
2015-05-21T10:32:40+00:00

- Mo Soulati

“My experience with AZCOMP has extraordinary. I have the ability to either log in and create a ticket explaining my issue or sending an email to their support team. Instantly I get a email back a ticket number that they are looking into my issue. Without any delays I either get a call back or an email on how to resolve my issue. They represeantives are very kind and help resolve the issue as simple as possible. I have had great experiences with AZCOMP and would recommend them to anyone. Using electronic medical records has been really to use and understand with their help.”
Back to Top