5010 FAQ

On January 19, 2009 the U.S. Department of Health and Human Services announced that the final rule under the Health Insurance Portability and Accountability Act would entail an update to the current X12 4010 ANSI format being used for electronic healthcare transactions. Effective January 1, 2012 all electronic healthcare transactions must be formatted according to the X12 5010 ANSI guidelines.

5010 FAQs

Q: Do you have a transaction specific migration plan? A: We will have 837P, 837I, 835, 277CA, 999, and 824 transaction support available to all our end-users to use well before the end of 2011. Each individual customer will be able to choose between 4010A1 and 5010, and may switch back and forth during testing as many times as they need to. We will be pushing everyone to begin their tests with payers in July 2011. As each payer has different re-testing processes we will not start all states migrating at once. Further, we have found that it is not beneficial to test before a payer is ready to bring submitters into production, so we are not recommending testing too early. Q: Do you have a timeline available for your migration plan? A: We plan to push our customers to migrate to 5010 from June through December 2011. Any that have not migrated by that time we will contact to find out what the delay is. Q: When do you expect to begin payer testing? A: Whenever permitted, hopefully by July 2010. Ivertex has already tested 5010 transactions for 837P and 837I with several payers internally, and passed in all cases. We have found that many payers are not ready to bring submitters into production yet, so it is best to wait and do this all at once since passing their test requirements is trivial. Q: Will you be testing as a vendor, or will clients be doing the testing? A: As a vendor if possible, or whatever the payers require otherwise. Q: If a payer can return either the 277CA or the proprietary report. Which will you support? A: We prefer the 277CA. Q: If you support the 277CA will you provide a user-friendly format? A: Yes. Q: When moving clients will remittance and claims version be moved at the same time? A: Yes. Q: Do submitters need to do anything different than with 4010? A: Most of the changes between the 4010 and 5010 ANSI format will be handled by the built-in edit checks in SolAce EMC. However, we are finding that there are 2 things that our users must update either in their Practice Management systems that create their import files for SolAce EMC, or may be made in their Setup/Provider or Setup/Addresses screens in SolAce EMC. The following are the changes that must be made by our users in order to produce a valid 5010 Test file: 1. All Facility and Billing addresses must reflect physical addresses. PO Box addresses will no longer be accepted. 2. All Facility and Billing address zip codes must contain the additional 4-digit extension following the 5 digit zip codes.

customer Testimonial

quote left quote right

customers From our customers

I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.

Shani Madaminova,
Best Home Care, Inc
Jersey City, NJ

SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.

Susie Doran Carter, Westcare Management, Inc.
LTC Medicare Consultant and Billing Service
Salem, OR

I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.

Carolyn Boles
From the office of Donald J. Boles Jr. MD PC
Tempe, AZ

SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.

S. Bowling
Idabel, Oklahoma

Easy to use, Customer support has always been excellent, Thanks SolAce Team.

Carl Shepherd
IT Administrator
Dublin, GA

I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.

Margate, FL

Awesome customer service every time!

Bellevue, NE

I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!

Bemidj, MN

The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.

Mahornet, IL

The follow-up is outstanding - whenever there is an issue I am contacted to be sure that all is working well and to my satisfaction.

Batavia, IL

Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.

Orlando, FL

Tech was very helpful, very patient and very professional. She knew of the issue quickly and stayed at hand until issue was resolved. Very satisifed with the service.

Largo, FL