Submitting Electronic Claims

Day-to-Day Users
1

juggernautsei wrote on Friday, June 19, 2015:

Our biller asked
“I created claims using the “genertate X12” like I was shown but that creates a 4010 format, is that what I will be sending instead of the HCFA or am I capable of producing a 5010?”

2

teryhill wrote on Friday, June 19, 2015:

to produce a 5010 go to your x12 partners under practice settings and change the version from 004010X098A1 to 005010X222A1.

Terry

3

juggernautsei wrote on Friday, June 19, 2015:

Thx!

4

juggernautsei wrote on Wednesday, July 15, 2015:

We got the system updated with the correct information in the x12 partner but the system is still generating the 4010. I have double checked that the 005010X222A1 is selected.

Where else should I look?

5

teryhill wrote on Wednesday, July 15, 2015:

go to the gen_x12_837.inc.php and at about line 20 do this

// This is true for the 5010 standard, false for 4010.
// x12gsversionstring() should be “005010X222A1” or “004010X098A1”.
//$CMS_5010 = strpos($claim->x12gsversionstring(), ‘5010’) !== false;
$CMS_5010 = true;

6

tmccormi wrote on Wednesday, July 15, 2015:

Yep, there is a bug that causes 4010 get be used seemingly randomly. All the 4010 code needs to be stripped now.

7

juggernautsei wrote on Wednesday, July 15, 2015:

Thanks Tony, I will upgrade them to the .3 code base to see if that fixes
the issue.

8

juggernautsei wrote on Monday, July 20, 2015:

I have another question about the settings. The Processing Format should be
set to what to get a 5010 generated?

9

teryhill wrote on Monday, July 20, 2015:

see attached (I hope)
Terry
From: Sherwin Gaddis juggernautsei@users.sf.net
To: [openemr:discussion] 202504@discussion.openemr.p.re.sf.net
Sent: Monday, July 20, 2015 3:41 PM
Subject: [openemr:discussion] Re: Submitting Electronic Claims

I have another question about the settings. The Processing Format should be
set to what to get a 5010 generated?

Sherwin
757-328-2736
Open Med Practice

“For those who believe, no proof is necessary. For those who don’t believe,
no proof is possible.” ― Stuart Chase
http://www.goodreads.com/author/show/1051789.Stuart_Chase

On Wed, Jul 15, 2015 at 4:54 PM, Sherwin Gaddis juggernautsei@users.sf.net
wrote:

Thanks Tony, I will upgrade them to the .3 code base to see if that fixes
the issue.

Sherwin
757-328-2736
Open Med Practice

“For those who believe, no proof is necessary. For those who don’t believe,
no proof is possible.” ― Stuart Chase
http://www.goodreads.com/author/show/1051789.Stuart_Chase

On Wed, Jul 15, 2015 at 2:38 PM, Tony McCormick tmccormi@users.sf.net
wrote:

Yep, there is a bug that causes 4010 get be used seemingly randomly. All
the 4010 code needs to be stripped now.

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10

teryhill wrote on Monday, July 20, 2015:

Yeah forum is back up. The attachment did not come thru so here it is again

Terry

11

juggernautsei wrote on Wednesday, July 29, 2015:

I am trying this now. I just now found this post.

12

juggernautsei wrote on Thursday, July 30, 2015:

This worked!

13

teryhill wrote on Thursday, July 30, 2015:

Is anyone using 4010 any more ?