ENTERING YOUR CLEARINGHOUSE INFO:
K) SET UP/ Clearinghouse (Electronic Billing Processor Settings)
Note: If you are not ready to bill electronically, skip this step and
come back to it after you have subscribed to a clearinghouse. You must
have purchased this option in order to use this feature.
a) From the Top Navigational Menu, select ‘Set Up’ and ‘Clearinghouse’.
b) Select ‘Add’ to open a blank ‘Edit New Clearinghouse Data’ form.
c) Code: Create a shortcut/nickname for this Clearinghouse. (Used by the
software in various screens and reports).
d) Name of Receiver: Enter the name of the Clearinghouse.
e) Receiver Id: Enter the number that may have been given you by the
Clearinghouse.
f) Submitter Id: Enter the number that may have been given you by the
Clearinghouse.
g) 1J Qualifier: Click the box on the left of the blank field and enter
the appropriate code that may have been given you by the Clearinghouse.
h) Sender Code: Click the box on the left of the blank field and enter
the code that may have been given you by the Clearinghouse.
i) Vendor Id Code: Click the box on the left of the blank field and
enter vendor Id that may have been given you by the Clearinghouse.
j) Loop 1000B NM109: Click the box on the left of the blank field and
enter the code that may have been given you by the Clearinghouse.
k) Type: When you first submit claims electronically with our program,
you will be sending the data as ‘TEST DATA’ unless instructed otherwise
by the Clearinghouse. Once approved by the Clearinghouse, change this
field to ‘PRODUCTION DATA’. Select the appropriate
option from the drop down menu.
l) ISA=01: Click this box if the Clearinghouse instructs you to do so.
CONT . . .
II.
PROGRAM SETUP ...................3-18
4).
COMPANY INFORMATION
5).
PATIENT ACCOUNT NUMBERS (PAN)
6).
DATES VALIDATION
7).
DIAGNOSIS SITES FIELDS
8).
NPI FORMATTING
9).
CALIBRATING YOUR PRINTER
10).
SECURITY
11).
PROVIDERS
12).
FACILITY
13).
INSURANCES
14).
ICD-9 DIAGNOSIS CODES
15).
CPT PROCEDURE CODES
16).
MODIFIERS
17).
CLEARINGHOUSE
18).
REFERRING PHYSICIANS