Change History - Enterprise Edition version 3.1.x

Disclaimer: The changes listed here are frequently described in a general way so everyone will understand them. In some cases the change is very specific, and if you are having an issue it may not be related to the items on this list depending on the specific circumstances in your case. It is always best to consult with our technical support team regarding issues you are having.

3.1.65 - 10/06/2011
Additions
Added popups after signing in to capture information (especially email address) that is important for a version 4 upgrade.
Changes
Updated ICD-9 codes.
Updated payer settings for CIGNA J15 transition.
Fixes
Fix for eMedNY file naming.
Fix for importing patient weight from DME claims in NSF files.
Fix for ordering physician in Patient Editor screen.

3.1.64 - 8/19/2011
Additions
Added units to Bill Codes.
Changes
Updated transmission settings for Virginia Medicaid.
Updated Palmetto GBA (GPNet) transmit script.
Removed revenue code 679 from room-and-board considerations.
Re-added auto-sorting of institutional service lines but only for UBF imports.
Fixes
Fix for edit check on secondary provider NPI usage.
Fix for 837P translation not including diagnosis pointers 5-8 if a pointer to 1-4 was not present on the service line.

3.1.63 - 7/26/2011
Changes
Updated remittance remark codes.
Disabled sorting of institutional claim service lines.
Change to allow for negative claim-level COB adjustment amounts.
Added logic for BCBS Michigan to send covered day count in QTY segment.
Fixes
Fix for Tufts transmission script.
Institutional claim edit check fix for type of bill, and added logic to auto-calculate line total if blank.

3.1.62 - 6/18/2011
Changes
Updated payer IDs for Medicare jurisdiction changes.
Updated Independent Health transmission script.
Fix for 837P importer not importing DME CMN data.

3.1.61 - 5/28/2011
Changes
Medicare Payer ID changes for Palmetto jurisdictional changes.
When a bill code is entered and there are already units on the service line the program will now auto-calculate the price; useful for those importing claims where all but procedure code has been prepared in advance.
Data entry behavior changes only for Illinois Early Intervention CBO submitters.
Fixes
Fix to print facility PIN on claims even when it is the same as the Tax ID.
Fix for Nebraska Medicaid SFTP transmissions.

3.1.60 - 5/11/2011
Additions
Added capability to auto-purge mailbox files and batches via a new setting in Setup/Site Options.
Added ordering provider support during patient synchronization from claims.
Added NHIC SFTP naming convention.
Changes
Updated payer IDs for Palmetto GBA.
Updated U.S. zip codes.
Changed Provider/Address searches to default to adding Address book entries when Add button is used.
Expanded editable 837I occurrence codes from 8 to 24.
Updated DME edit checks for ordering contact now required on all claims have a CMN, per Medicare.
Fixes
Fix for sites having multiple Availity inboxes getting inbounds in the wrong mailbox.
Fix for Mac backup/restore scripts.
Fix for FirstCoast script for Mac USB modems.
Fix for printed 1500 claims to print box 11d No checkbox and box 33 phone number.
Fix for ordering provider patient field not saving.
Fix for CC outbound feature when no payers are linked to a receiver.
Fix for modifier 4 not coming in via 837P importer
Fix for provider auto-fill to better handle legacy PINs and Tax IDs

3.1.59 - 3/16/2011
Changes
Change for Virginia Medicare Part B migration from Trailblazer to Palmetto GBA.
Eliminated 837I edit check for CPT 90999 for Texas Medicaid.
Fixes
Fix for problem launching application with Java 6 Update 24.

3.1.58 - 2/28/2011
Changes
Change so Message Center search only searches last year of files (for performance reasons).
Change to support new Availity DPR bundled report format.
Edit check updates for invalid modifiers on UBs, ordering and referring required when billing Medicare for 95937, and other misc fixes.
Fixes
Fix to allow 2012 registration keys to be entered.
Fix for remittances with non-numeric control numbers failing to export from File Manager.

3.1.57 - 2/9/2011
Additions
Added ASH (BCBS Arizona) and HMA transmission scripts.
Added new occurrence code 50 and altered edit checks to support multiple uses of this code for reporting assessment dates.

3.1.56 - 1/21/2011
Changes
Update for new Palmetto Medicare payer IDs.

3.1.55 - 12/29/2010
Additions
Added ClaimShuttle connectors for NGS and UGS receivers.
Added FTP connector option to control whether files are deleted from remote system or not.
Changes
Changed NGS and EMOMED password policies.
Change for Louisiana Medicaid to send 837I covered days and related segments even when claim is not for room-and-board.
Updates for new Availity IBR/EBR/DPR file formats.
Fixes
Fix for PGP-encrypted files being truncated (GA Medicaid submitters need this update).
Fix for exporting raw 835s from File Manager when original 835 had multiple functional groups (GS-GE segments).

3.1.54 - 11/15/2010
Additions
Updated remittance remark, adjustment reason, and taxonomy codes for November 2010.
Changes
Updated Arkansas Medicare, Idaho Medicaid, and Georgia Medicaid transmission scripts.
- Please contact us if you submit to Georgia Medicaid for PGP key assistance.
Relaxed UB04 edit check for Medical Record Number.
Fixes
Fixed claim detail report's Assigned column to show the right assignment field.

3.1.53 - 10/12/2010
Additions
Added edit checks for radiopharmaceuticals to require NDC line items.
Added 3 institutional fields to the ERA Exporter (XML format).
Changes
Updated ICD-9 diagnosis codes and HIPPS RUG-IV codes for Oct 2010.
Updated Medicare timely filing limits for 2010 and beyond.
Updated wellness age edit checks.
Updated EMOMED transmission script.
Fixes
Fixed CSV mapping user interface issues.
Fixed problem with only two occurrence span codes sending on 837I transactions.
Fix for ICN/DCN 837I edit that wouldn't disappear.
Fix for UB04 value/revenue code combination edits not working perfectly.
Added special 837 logic for Pennsylvania Medicaid.

3.1.52 - 09/28/2010
Additions
Added fields for tracking Business Associate Agreements to Address book.
Added auto-password change support for SSH/SFTP connections.
Added two fields to original 835 exporter for hospital claims.
Added a Mailbox option to automatically de-identify outbound EDI files (intended for testing purposes).
Added support for MSSQL Server 2008.
Changes
Usability enhancement for Copy Claims feature.
Updated Missouri Medicaid (EMOMED) transmission script.
Updated IGI Health, Georgia Medicaid, Idaho Medicaid transmission scripts.
Change to make batches with 'Sent Paper' or 'Sent Manual' status be archived and not deleted when Delete feature is used.
Fixes
Fix for referring taxonomy provider not importing from 837P files.
Fix to send CPT 01991 as units instead of minutes.
Fix for Idaho Medicaid problem with detection of HTML reports.
Fix for Palmetto GBA ZModem download problem.

3.1.51 - 07/22/2010
Additions
Added support for automated SFTP password changes.
Added large font EOB print option to support Washington Medicaid requirements.
Added pregnancy checkbox to claim editor.
Changes/Fixes
Updated Priority Health and Georgia Medicaid transmission scripts.
Fixed edit check for therapy claims.

3.1.50 - 06/22/2010
Additions
Added diagnosis codes to Patient Demographics report.
Added wellness visit patient age edit checks.
Added option for WA DSHS/ProviderOne to send taxonomy codes in violation of 4010 IG.
Changes
Updated Atrio, Idaho Medicaid, and CIMOR transmission scripts.
Change for 837I to send COB Total Charges (AMT*T3) segment automatically.
Change to 837P MCN support to send LQ segment even if no questions are answered.
Changes to dialysis edit checks.
Fixes
Fix for default rendering provider taxonomy code not being sent when no rendering provider name is present.

3.1.49 - 05/17/2010
Additions
Added MSP insurance type code edit check for UB04/837I claims to Medicare as a Secondary Payer.
Added Patient Demographics report.
Added 837I edit check to ensure service line COB adjustment have a valid payer ID present
Changes
Updated CIMOR and Premera transmit scripts.
Updated PQRI edit checks for 2010.
Fix 837P import and export to support diagnosis codes 5-8.
Fixes
Fix for 997's showing up in Message Center with a date ahead of their real transaction date.
Fix for missing DLL in 3.1.48 Desktop edition update.

3.1.48 - 05/03/2010
Additions
Added support for Windows 7 64-bit.
Added support for loading PKWARE-encrypted .zip files (for ADP).
Added special naming option for Folders and Web Browser connector types to better support ADP.
Added Texas Medicaid file naming convention.
Changes
Updated U.S. zip codes.
Updated Medicare edit checks.
Updated edit checks for North Carolina Medicaid, especially for podiatry claims.
Change for CABBS password change policy.
Fixes
Fix for stripping of hyphens in insured IDs in 837I transactions.
Fix for Wisconsin Medicaid transmit script.
Fix for NSF importer handling ROI date badly.

3.1.47 - 03/12/2010
Additions
Added Section 1011 edit checks.
Changes
Minor changes to 837I type of bill edit checks for home health bills.
Removed logic to keep service line 1 provider when adding a new claim in direct entry mode.
Updated transmission scripts for Premera and Wisconsin Medicaid.
Expanded date fields on reports to avoid time being truncated.
Added logic to send 2420A loops in 837P transactions when redundant with 2310B but taxonomy is different.

3.1.46 - 02/11/2010
Additions
Added support for K3 segments in outbound EDI files.
Changes
Updated HIPPS codes to include HHA and IRF subsets, previously only RUGS codes were being shipped.
Updated institutional claim home health edit checks.
Updated UGS transmit script.
Fixes
Fix for UB TOB 32x warning about zero amounts on lines with revenue code 0023.
Fix for handling remittances with no payer claim control numbers returned.
Fix for UB04 service lines being swapped during sorting by revenue code, with a bug of NDC/COB data being left behind on previous line.
Fix to prevent inbound processing from thinking a file with first two non-blank lines starting with '01' and '10' is a UBF file.
Fix for ICN warning even when ICN is present.

3.1.45 - 01/04/2010
Additions
New auto-change password policies for Noridian and CIGNA.
New print file mapping options for print files containing form feed characters.
Added new file naming conventions for Washington Medicaid.
Changes
Minor change to improve logic regarding sending of taxonomy codes vs. splitting of batches.
Updated transmission scripts for Vermont Medicaid, Virginia Medicaid, and Michigan Medicaid.
Fixes
Fix for exporting a remittance to EDI pulling in too much data when used with a clearinghouse mailbox.
Fix for new SSH/SFTP library failing to detect invalid logins and failing to download files from a top-level directory.
Fix for Availity sender code always overriding mailbox GS02 setting.
837I change to send prior payment amounts even if zero.
Fix for NullPointerExceptions importing 835s and running edit checks.

3.1.44 - 11/11/2009
Additions
Added EDI settings for Washington's ProviderOne system.
Changes
Updated North Carolina, HMSA, Atrio, and Maryland Medicaid transmission scripts.
Change to support previously unintended behavior of HCFA-1500 box 6 applying to other insured when patient and insured names are the same.
Change to support Availity inbound 835's now all having the same control number.
Modification to allow COB data to be sent even on primary claims, for MassHealth.
Fixes
Fixes for Transmitted Claims Report.
Fix for payer print options not being editable for built-in payers.
Fix for Oregon Medicaid SFTP connectivity failing.

3.1.43 - 10/07/2009
Additions
Added several fields to paper EOBs, including (for UB submitters) covered, coinsurance, lifetime reserve, and non-covered days, and DRG total amount per claim. Also added provider ID and date to provider-level adjustments section, and totals for that section.
Added support for BCBS Arizona's group number based corporate payers.
Added support for UBF custom record type for UltraCare users, to meet Florida Medicaid requirements.
Changes
Updated ICD-9 and taxonomy codes for October 2009.
Minor edit check adjustments, including updating North Carolina Medicaid referring provider edits.
Improved on-screen behavior of patient inactive date field.
Updated Arkansas and Maryland Medicaid transmit scripts.
Added a few (rarely used) UB value codes and some simple edit checks.
Fixes
Fixed a problem with patient and policy selection window showing blanked-out policy lines in the selection list.
Fixed a problem with 837I importer not picking up 'other physician' loop 2310C.

3.1.42 - 09/18/2009
Additions
All new Transmitted Claims and Transmission Reports (via the Reports menu).
Changes
Updated transmit scripts for Virginia Medicaid, First Coast, and Idaho Medicaid.
Updated zip codes (missed some in last update).

3.1.41 - 09/01/2009
Changes
Changed Claim Search screen to require a service date range, for performance reasons. A convenient drop-down is present so you don't have to actually type dates.
Improved provider matching for accounts with a large provider list.
Updated BCBS Arizona web transmission script.
Minor 837I edit check improvements.
Fixes
Fix for paper EOB not showing service dates, caused by deficient 3.1.40 fix for EOBs lacking service dates.
Fix for total pages calculation bug with multi-page HCFA/UB paper claim printing.
Fix for matching of provider names in UBF files, was treating as first/last instead of entity and causing matches to not be reliable.
Fix for user home directory detection when running with Windows Active Directory Redirected Folders feature in use.

3.1.40 - 08/17/2009
Changes
Updated zip codes nationwide.
Added support for alphanumeric control numbers on remittances from Univera.
Change to allow state codes to be sent for Mexico.
Added logic to always send units as days for revenue code 0022 on UB claims.
Changed NDC edit check to allow for letters in NDC numbers.
Improved 837P importer to pull in loop 2410 for NDC information. Also second address line of facility was not being pulled all the way through in prior versions.
Fixes
NSF importer was not bringing service line provider name in when it was the same as that on the claim, which could cause problems with PIN overrides being applied consistently.
1500/UB paper claim print would generate an extra page if blank service lines on a claim pushed it over a page.
Other payer on 1500 claims could resolve incorrectly when based on contents of the INSURED-PLAN field.
Fix for adjustment reason code popup not appearing.

3.1.39 - 07/30/2009
Additions
Payer list updates for Medicare Jurisdiction 10.
Added an HMSA Secure FTP transmit script.
Changes
Updated HIPAA codesets for July 2009 codes: Remittance, Adjustment, Claim Status, and Taxonomy codes.
Updated Colorado Medicaid transmit script.
Improved detection of GnuPG encrypted files, with support for unsigned inbound files.
Fixes
Removed edit check requiring, for Medicaid payers, that rendering provider must be an individual.
Fix for ICD-9 validation including ICD-9 procedure codes on professional claim edits.

3.1.38 - 07/01/2009
Additions
Added new HMSA file naming convention.
Added edit checks for DME revision dates and some insured ID patterns.
Added support for Present on Admission indicator for electronic 837I and paper UB-04 claims.
Changes
Removed sender ID qualifier setting from mailbox settings, now handled automatically as part of receiver/payer settings.
UGS transmit script updated to counter M2 issues of late.
Updated MassHealth transmission script for their NewMMIS system.
Remittance printing and exporting updated to use corrected insured name coming back on 835s.
Changed address warnings for insureds to allow a completely blank address.
Fixes
Fix for not sending PINs with LU, 0B, or G5 qualifiers when NPI-only is set (rare but needed by some Medicaids).
Reverted podiatry edits to previous version for Noridian only, as they stated they don't use the new systemic disease modifiers.
Changed auto-fill patient/insured relation-is-self logic to check date of birth before assuming an exact name match is the same person.

3.1.37 - 06/01/2009
Updated edit checks for Podiatry services billed to Medicare.
Payer ID changes for Medicare Jurisdiction 14 (Maine, Massachusetts, New Hampshire, Vermont).
Added new Blue Cross payer lines of business for Pennsylvania.
Updated Alabama Medicare A payer ID.
Corrected some ICD-9 codes in the 34xxx range.

3.1.36 - 05/19/2009
Additions
Added option for Nevada Medicaid secondary claims to disable auto-totaling of patient responsibility adjustments.
Added option to display provider name from provider list instead of 835 if single NPI match exists.
Changes
Updated Availity payer list.
Updated edits for Railroad Medicare HIC numbers and secondary provider PINs for Medicare claims.
New Jersey Medicaid transmit script updated in response to brand new web site at www.njmmis.com.

3.1.35 - 05/02/2009
Additions
Added support for limiting payers by mailbox (for NGS/DME and Palmetto/Railroad).
New payer ID for Medicare B Rhode Island.
New FTP connector for Cahaba and new payer/receiver IDs for Alabama Medicare B.
New receiver entries available for Tufts Health Plan, University Health Alliance, and Atrio.
North Carolina Medicaid is now NPI-only.
Added edit checks for CQuest EI-CBO institutional claims.
Fixes
Fix for BCBS Nebraska and Florida Medicaid transmit scripts.

3.1.34 - 04/09/2009
Additions
Added edit check for future onset dates.
Added Hemoglobin/Hematocrit Medicare edits and comment line parsing.
Added EOB fields added for institutional remits (per diem, authorization number).
Added logic to not auto-clear imported service lines with less-than-minimum charge amount when a PQRI code is present.
Changes
New UltraCare ERA exporter.
NHIC transmit script updated.
Fixes
Fix for searching address list entries of a specific type, like Guarantors.
Fix patient autofill of referring physician NPI.

3.1.33 - 03/25/2009
Additions
Added DME edits for duplicate CMNs on same claim.
Major update to Availity payer list.
Changes
Change to suppress covered/non-covered days edit for outpatient services billed to Medicare on TOB 22x.
ZModem improvements for First Coast and Highmark Medicare systems.
Transmission script changes for BCBS Iowa, Michigan Medicaid, and Florida Medicaid.
Fixes
Fix for 837P importer and importing loop 2420A NPIs.
Fix for PGP encrypted messages to Emdeon failing because Emdeon doesn't want integrity packets.
Fix for proper detection of PGP binary inbounds from United Healthcare / Spectera.

3.1.32 - 02/20/2009
Additions
Edits for January 2009 HCPCS codes additions, deletions and modifications.
Added all new new CSV file mapper.
Added claim level place of service and BHT-03 capability for 837P importer.
Detect duplicate diagnosis codes in UB other diagnosis code section.
Changes
Updated Blue Cross California transmit script for changed login prompt.
Updated HGSA Medicare transmit script to detect 'already logged on' BBS state.
Fixes
Fix for not importing DTP*866 segments on 837I files.
Fix for unnecessary diagnosis pointer warnings caused by changes in version 3.1.31.
Fix for not reading LMP date on 837P imports.

3.1.31 - 02/02/2009
Additions
Add continuation feature to paper 1500 prints that have more than six service lines.
Added more edits against service line diagnosis reference/pointer fields.
Added edits for obsolete 2008 CPT codes.
Added payer settings for Medicare Jurisdiction 9.
Changes
Updated Michigan Medicaid transmit script.
Fixes
Fixed problem where rendering taxonomy would not cause a new billing provider split.

3.1.30 - 01/12/2009
Additions
Added Site option to suppress timely filing limit warnings.
Added logic for proper reporting of obligated to accept as payment in full adjustments when billing Medicare.
Improved NSF importer handling of NPIs in UPIN fields.
Improved multi-user database connection recovery after database service has been restarted.
Added extra on-screen warning on UB claims when an 'other payer' is not properly entered.
Changes
Updated Enteral/Parenteral CMN answer positions in NSF files for Ultracare.
HMSA change to make transmitted filenames lowercase.
Independent Health transmit script updated for multi-page download capability.
Fixes
Fixed guarantor population bugs when a patient is selected to fill a claim.
Fix for 2-line insured address populating to one line on claims.
Fixed a single dot in numeric fields causing a warning.
Fix for null error when processing 2310 loops in an 837I import.

3.1.29 - 12/17/08
Additions
Added admit/discharge and statement end dates to 837I claim listing report.
Added 'blank UB04 rate' printing option under Payer setup for users to override.
Added Medicare jurisdiction 12 payer IDs for Highmark transition.
Changes
Added logic to prevent deletion of a Group Practice when Group Providers are linked to it.
Changed WPS Medicare BBS transmit script for new prompts.
Fixes
Fixed bug in Patient editor related to Responsible Party being invalid.
Fixed problem with EDI report showing the From/To labels reversed for outbound files.
Fixed problem with secondary claim payer Id warning not showing up.
Fixed 837I importer to handle multiple STs properly.

3.1.28 - 12/01/08
Additions
Added Polaris Group receiver.
Changes
Extended payer-specific option for NPI printing on paper claims to all provider types on UB04 paper claims.
Insured ID stripping of dashes made dependent on payer-specific settings (same behavior as stripping of spaces now).
Fixes
Fixed patient auto-fill bug when no policy was on file.

3.1.27 - 11/10/08
Additions
Added courtesy copy feature to auto-copy outbound EDI files to any other mailbox. Enable via the Mailbox properties window, Advanced tab.
Changes
HGSA Medicare script updated to fix intermittent problem downloading reports.
Put partial search of patient accounts numbers back.
Fixes
Fix for NGS TA1 inbounds failing to process due to ASCII NUL characters, and clogging up the inbox as a result.

3.1.26 - 10/19/08
Additions
Added remittance export option to export raw 835 EDI transactions from the File Manager screen.
Added Tax Id fields in the claim editor for 837I's attending, operating, and other providers.
Changes
Updated ICD-9 codes for 2008 edition.
Changed Independent Health transmit script to not delete files on website after downloading.
Enhanced patient selection searches to search on policy number if present and patient account number is not found.
Improved performance of Claim Search at the expense of being a 'begins with' instead of a 'contains' search. Also, search is case sensitive for now on PostgreSQL databases.
Fixes
Fix for 837I not sending other payer prior payment segment.
Fixed name containing the word 'SIGNATURE' getting cleared.
Fixed splitting of claims vs. encounters even if Receiver's combine lines of business setting is on.

3.1.25 - 9/25/08
Additions
Enhanced patient selection on claims to include policy selection.
Added new patient fields including responsible party, ordering physician, preferred phone, and inactive date.
Added payer-specific setting for timely filing limits so we can set these quickly on request.
Added support for payer secondary identifier at claim level to support Illinois Medicaid TPL code requirements.
Changes
Changed two podiatry edit checks to be Medicare-only.
Change to support Availity EBRs having multiple EBRs in a single file.
Fixes
Fix for claim detail reports chopping off a modifiers that are too wide (GO was one).
Fix for NPI in loop 837I 2310E not being sent.
Fix for UBF import of insured gender.
Fixed rare sorting problem resulting in too many loop 2000A's in an 837, more likely to affect 837Is than 837Ps.
Fix for encounters sending separately from claims.

3.1.24 - 8/18/08
Additions
837I importer is now available.
Added a group number required edit check setting that can be turned on for any payer.
Added an edit check for rehabilitation services on Part A institutional claims.
Changes
Changed UGS / M2 System transmit script to detect failed logins.
Changed UB04 estimated amount due calculation to better support zero-pay claims.
Fixes
Fixed sorting and claim count problem on claim detail reports.
Fixed patient auto-fill to work even if patient does not have a policy.

3.1.23 - 8/2/08
Additions
Added Medicare Jurisdiction 1 payer IDs.
Added 835 BPR-01 code and description to top of pages on printed EOBs.
Added new Oregon Medicaid and Blue Cross California receivers for upcoming transition.
Changes
Updated Preferred Care of NY transmit script.
CIMOR transmit script change to auto-insert the /CimorTest and /CimorProd paths when performing transmissions.
Change to handle eMedNY 277's having spaces at the front of EDI.
Fixes
Fix for printing 1500 paper claims to leave box 9 blank when other payer ID is blank, even if other insured data is present.
Fix for claims set to sent paper status not allowing changing of status.
Fixed preview EDI feature to not status claims to Outbound when entire batch is ready to send.

3.1.22 - 7/10/08
Additions
Added support for Availity IBR processing, which also fixes EBR processing errors.
Added Preview EDI feature in batch and claim editor screens.
Changes
Payer ID changes for Medicare Jurisdiction 12.
Fixes
Fixed ordering physician PIN warning that shows even when PIN was not being sent.

3.1.21 - 6/22/08
Changes
Update for BCBS Mississippi transmit script.
Updated Florida Medicaid receiver for ACS to EDS migration. Automated transmissions not yet ready.
Fixes
Fix for Availity to not mix NPI Option 3 with Option 2 or 4 type payers.
Fix for NSF importer not splitting batches.
Fix for table columns being off by one on remittance viewer screen.
Fix for deleting a service line on an 837P claim not clearing the NDC and COB fields properly.

3.1.20 - 6/6/08
Additions
Added Priority Health transmit script.
Changes
835 CSV exporter changes to be more usable by automated programs.
Paper EOB change so Late Charge is subtracted from Net Pd amount.
Updated Louisiana Medicaid and BCBS Nebraska transmit scripts.
Fixes
Fix for ASK automatic password changes.
Fix for receiver/payer updates not getting sync'd up to user databases.

3.1.19 - 5/19/08
Additions
Added warning at login for NPI deadline to display until June 8th.
Added the Mailbox Force NPI option as a column on the Setup / Mailboxes screen.
Added display of the NPI option in effect for a mailbox on the Claim Editor screens near the payer name.
Updated Availity NPI options to be appropriate for their NPI Readiness list.
Added support for auto-fill of Taxonomy codes from Address entries.
Added Preferred Care of New York transmit script.
Changes
Changed all Medicare, Medicaid, Blue Cross/Blue Shield, and Tricare payers to default to sending NPI only.
Updated CIMOR receiver settings.
Change to send F4 qualifier for CLIA numbers at service line level when destination payer is Medicare.
Updates for Premera Blue Cross, NY Upstate Medicare, EMOMED, and CIGNA Medicare transmit scripts.
Changed Anthem to send rendering Tax ID even if NPI-only is set.
Fixes
Fixed for EOB printing of mileage on Medicare ambulance payments.
Fix for error running edit checks in early 3.1.18 versions, and for Medicare lab service edit checks showing up for non-Medicare claims.
Fix for 837P importer for secondary payer claims.
Fix for CSV importer incorrectly splitting large batches.
Fix for supressing REF*TJ segments for facility Tax IDs as a default behavior when NPI only option is in effect.

NPI settings have changed to default to 'NPI only' for all Medicare, Medicaid, Blue, and Tricare payers. You will receive a warning at login until June 8th if you have any mailboxes that are set to override the system default and send PINs (legacy identifiers). Visit the Setup/Mailboxes screen to see which mailboxes are set to send PINs.

If you have not registered your NPI with some payers, or if they have issued memos indicating that they are not complying with the NPI deadline, then you may need to use the Mailbox setting named Force NPI to cheerfully enable their non-compliance. Simply set it to 'PINs only' or 'NPI+PINs' to continue sending legacy identifiers for as long as you need to.

Also, we DO NOT recommend removing any PINs from your provider setup. They aren't hurting anything by being there, so please do not get rid of them.

3.1.18 - 4/28/08
Additions
Preferred Care of New York receiver added.
Added logic to auto-clear box 32 on 1500 forms when POS 12, not a DMERC claim, and name line contains only the word 'HOME'.
Changes
Printing a paper-style remit now favors printing the NPI over the PIN for the payee provider.
PHTECH receiver settings changed to enable downloading of 835s.
Added stripping of dashes from service line provider IDs, to match logic applied to claim level for a long time now.
Fixes
Fix for UPIN warnings showing incorrectly for some procedure codes when NPI present for referring physicians.
Fix for claim level ordering physician NPI not being populated to service line level on outbound 837P files.
Fix for invalid 837I on secondary institutional claims where only a revenue code was billed to the primary.

3.1.17 - 4/9/08
Additions
NSF importer support for referring physician NPI in either PIN or UPIN fields.
Added Value Options transmit script for Massachusetts Behavioral.
Added Beacon Health Services transmit script.
Added logic to copy other insured group number to other insured ID field as most users have this mapped for 1500 to box 9a which can only hold one value.
Changes
Updated BCBS Iowa transmit script.
Correction for Excellus receiver modem script.
Added receiver/payer override of facility type qualifier for payer 53011 NALC/Affordable.
Fixes
Fix for handling of service line diagnosis pointers having real diagnosis codes.
Fix for PostgreSQL backups on Mac OS X.

3.1.16 - 3/18/08
Additions
Added Trispan Payer ID 00242 for Missouri providers to use -- mailbox EMC Filename must be set to EDS as the default for non-Missouri providers is CDS.
Added payer-specific option to send NPI and Tax ID in Loop 2310B (contrary to IG) for Anthem Blues and a few other payers.
Changes
Updated Highmark Medicare payer IDs for Part A.
Updated Trispan and BCBS North Carolina transmit scripts.
Fixes
837P importer improvements for secondary claims.
Fix for primary insured being cleared by edit checks on secondary claims when patient is not a policyholder.
Fix for unnecessary Rendering PIN warnings, plus Noridian PIN edit occurring on lines with no PIN.

3.1.15 - 2/23/08
Additions
Trailblazer payer IDs for Oklahoma/Louisiana.
First Priority Health custom logic to send taxonomy code at billing provider level only (contrary to IG).
Added a per payer, paper claims print option to print NPIs only and suppress PINs on paper claims.
Added logic for ambulance EOBs to calculate and print unpaid mileage for Medicare A0888 HCPCS codes.
Changes
Added Colorado Access FTP and naming convention settings for automatic transmission.
Fixes
Fix for insured addresses not importing when address line on print file has only the word 'SAME' on it, or when city/state/zip is blank.
Fix for Insured ID and Signature Code not populating on secondary payer tab of Claim Editor when a patient was selected to auto-fill the claim.

3.1.14 - 2/9/08
Additions
New Medicare Administrative Contractor settings for WPS and NGS jurisdictions.
Added warnings for missing NPIs based on mailbox NPI setting to aid in NPI migration.
Added logic to auto-fill other insured name with patient or insured name based on an exact name match.
Added setting for Pima Health to send claim adjustments as totals of line adjustments.
Changes
Firebird database files for Desktop Edition Windows Vista compatibility.
Improved COB balancing edits when a claim has adjustments at both claim and line levels.
837P importer improvements for NPI.
Fixes
Fixed WPS automatic password change on new BBS to be more reliable, and ASK password generator to include a special character.
Fix for claim level Default Rendering Provider not auto-filling from entry in Provider list.
Fixed performance issue introduced in 3.1.13 when viewing large text reports in Message Center.
Fixed Dial-Up Networking auto-dialer for v2 upgrades where it was failing.

3.1.13 - 1/11/08
Changes
Transmit script updates for Idaho Medicaid, WPS Medicare, Ohio Medicaid, and Medi-Cal
Availity EBR viewer revamped for December changes
Better support for foreign addresses on patient/insured entities
Support for two BCBS Arizona secure transport web sites
Fixes
Fix for Availity BBS 'send failed' messages
For Oregon Medicaid, SSH/SFTP transport fixed to not receive files if no download folder is set; must now be set to '.' to download files from a home directory.

3.1.12 - 12/10/07
Additions
Wisconsin Physician Services (WPS) receiver consolidation and new BBS phone number. Since submitters are being migrated in phases, please check your Mailbox settings, Connection tab, Connector field to ensure you are sending to the correct WPS BBS. You will need to set the connector on your WPS mailbox to the 'Old BBS' if you are not setup on the new BBS yet.
Improved login history reporting for desktop edition.
Improved audit logging of user login sessions, including a concurrent user check.
Changes
For non-Medicare claims, don't auto-fill UPIN when PIN present for 'other physicians'.
For Medicare claims, don't auto-fill PIN when UPIN present for 'other physicians'.
New UGS BBS phone number and changes to the transmit script.
Fixes
Fixes for mailbox weights to prevent claims from being directed to the wrong mailbox.
Fix for ZModem occassionally saving a partial file. Revamped ZModem is working great!

3.1.11 - 11/29/07
Additions
Added Colorado Access direct connection.
Added PHTECH SFTP settings.
Added Rhode Island Medicaid web script.
Added logic to show 997s in Message Center as Acceptance, Rejection, or Partial Rejection Acknowledgment, instead of just saying it is an Acknowledgment.
Split out connection information from receiver so they can have multiple now with one that is the default.
Changes
Minor changes to EPSDT edit check logic.
Eliminated Admin / Receivers screen in favor of a single Admin / Receivers and Payers screen.
Type of Bill edit check logic consolidation and improvement for popup dialog to match NUBC guidelines.
Fixes
Major revamp of ZModem file transfer protocol to eliminate rare problem of corrupted downloads.
Partial fix for the sibling insured issue.
Fixes for Default Rendering Provider auto-fill behavior to be more predictable and consistent with other provider entity types.
Fix for revenue code not sending on SVD segment in some 837I COB transactions.

3.1.10 - 11/16/07
Additions
Added a payer print option that controls printing 0001 on UB04 as a normal service line for VA Medicaid.
File Manager record list now shows the electronic file control number in the status column.
Added a link to open a web browser to https://nppes.cms.hhs.gov/ on the Help menu, for easy access to the NPI Enumerator's web site.
Added Puerto Rico Medicare Part A receiver (ID: 00468).
ISA/GS control numbers can now exceed 4 digits.
Added a safety check to prevent reuse of outbound control numbers.
Changes
Replaced serial port libraries used since version 1.0 for modem transmissions with another product due to original libraries not being maintained by the vendor.
Separated Virginia BCBS payer IDs to Professional vs. Institutional due to different settings needed for each.
BCBS North Carolina web transmit script updated.
Zip code updates.
Fixes
UB-04 fix for box 1 and 2 city line formatting.
Fixed problem with tab-delimited ERA export producing comma-delimited files.
Fixed auto-fill of CLIA numbers from Address entries, and added support for service line CLIA numbers. The claim level CLIA number field moved from the Diagnosis tab to the Provider tab, now located in the Service Facility field group.
Corrected problem with the day part of transmit dates on inbound EDI files being presented as one day prior to the actual date in the EDI data.
Fix for Arkansas Medicare transmit script related to password changes.
Important Notes
Updating to 3.1.10 or higher causes the map named 'Default 1500' to be renamed to 'Default 1500 (pre-2007)'. If you have been using 'Default 1500' as the map up to this point, you'll need to use the one with pre-2007 in the name now. This is applicable to desktop and multi-user customers only.

3.1.9 - 10/26/07
Additions
Enhancement to mailbox file properties dialog to allow much quicker reprocessing of failed EDI transactions.
New stock maps that default to the current 1500 and UB-04 forms. New maps won't be present in all sites in an existing multi-site system, but can be copied from the 'Default' site is truly needed. Old maps are maintained for the old forms still as so many still use the old layout.
Display of last transmit time when scheduling a send/receive.
Changes
Removed functionality from print and CSV file importers that would auto-create billing providers.
Availity fixed a problem on 9/22 where DPR showed Insured ID in place of Billing Provider Tax ID.
Added logic for only one of NPI and UPIN required due to Medicare no longer issuing new UPINs.
Fixes
Fixes for Availity EBR and DPR viewers to accommodate undocumented changes in the formats.
Fix for BCBS North Carolina web script.
Fixed a logic flaw in automatic movement of UPIN values to PIN fields.

3.1.8 - 10/17/07
Additions
Added new crossover COBA IDs 55000-55006. Go to Setup / Site Options / Regions tab and mark the COBA region to cause these payer IDs show up in your payer list.
Added ability to print or export one or more remittances from the File Manager screen without actually opening each remit individually. Select one or more in File Manager, then right-click and choose Print or Export from the popup menu.
Added edit for facility NPI required for some payers.
Added Medi-Cal web script. To our knowledge no special settings are necessary as BBS user IDs already work on the Medi-Cal web site.
Changes
Revised edit checks for NPI and UPINs on secondary type providers so that UPIN is not required if NPI present.
Updated ICD9 codes for 2008.
Updated Mutual of Omaha modem script for automatic password changes.
Improved remittance to claim reconciliation logic. Resolves cases where claims fail to status to a Paid, Denied, or Short-pay status.
Fixes
Fix for EI-CBO transmissions on desktop edition.
Bundle Outbounds mailbox option now available to everyone, and is fixed to bundle difference transaction types in same mailbox separately.
Fix for HL IDs being wrong in some 837Is.
Fix for sending facility location number from claim alone.

3.1.7 - 9/27/07
Additions
Added support for BCBS NC modem and FTP concurrently in preparation for upcoming system changes
Added duplicate diagnosis code and DX 5-8 edit checks
Added Kentucky Medicaid BBS transmit script
Added service line level mammography cert number field (SVC-MAMMO-CERT-NUMBER)
Added 2310B vs. 2420A settings for Rhode Island Medicaid to resolve issues with taxonomy codes being sent where the payer was not looking for them
Added grouping by Mailbox Company Name for Message Center mailbox list
Added sorting by both revenue code and service date for UB claims, previously was sorting by revenue code only
Changes
Implemented new password change behavior for Arkansas Medicare region by disconnecting and reconnecting in same transmit session
Export ERA feature now saves the last exporter and directory used
Updated Univera transmit script
Updated Anthem BBS transmit script to treat non-critical errors as informational only
Improvements for UB-04 printing of 'days' value codes
Increased maximum service lines supported in the UB/837I Claim Editor from 100 to 500
Eliminated the 'Suppress age warnings for Medicare claims' option and corresponding age edits
Changed AZ Medicare Part A payer ID from 03001 to 03101
Fixes
Fix for double REF*1G segments being sent when both UPIN and PIN is present for referring physicians
Fix to make last map used stick properly on import screen
Fix for desktop backup failing with a 'ZipException'
Some improvements (but not complete) for patient selection and auto-fill when the policy is shared among multiple patients

3.1.6 - 9/1/07
Additions
Performance improvements
Fixes
Major revamp for Mutual of Omaha BBS support
Fix for times being displayed as 00:00:00
Fix for error running edit checks

3.1.5 - 8/23/07
Additions
Added BCBS North Carolina and Independent Health web scripts
EOB printing now sorts in the order you have sorted on the Remittance Viewer screen
Added distinct 837P fields for billing and rendering provider location numbers to better support CIMOR claims
Changes
Changes to Mutual of Omaha modem script for new BBS software
Change to support both NPI and UPIN from UltraCare UBF imports
Desktop Edition database switch to Firebird in order to support Windows 95, 98, and ME platforms
Print pay to provider on UB-04 when linked from provider file, or use billing provider if no other pay-to on file, so something will always print on UB-04 in FL2
Fixes
Fixed problem with billing provider PIN overrides not being applied in some cases

3.1.4 - 7/26/07
Additions
Assignment indicators added to Import and Batch Editor screens to make this critical field more visible in several areas
Added Assigned vs. Non-Assigned totals and selected batch summary information display on Generate Outbounds screen
Added support for viewing Availity DPR files in Message Center
Added UB-04 payer-specific print option to send patient paid amount in destination payer paid amount field on printed forms (for some Medicaids)
Added 1500 and UB-04 payer-specific print option to favor sending taxonomy over PIN on printed forms
Added OK Medicaid web transmit script
Changes
Box 27 on the HCFA-1500 form (ASSIGNED field) now forces the insured assignment of benefits indicators (INSURED-AOB fields) when the payer is not a Medicare B plan type. For Medicare B the same happens but only at import time as default values, and the two fields are maintained separately during claim editing and transmission.
BCBS Arizona payer list updated (400 payers added)
Changed PGP encryption process to improve digital signatures on PGP-encrypted files
NY Upstate Medicare BBS script updated
Arkansas region H99 files being detect as binary due to ASCII NUL's in text files
Zip code updates
Fixes
Corrected problem introduced in version 3.1.3 with provider accepts assignment field defaulting to No, and most users being unfamiliar with separate insured assignment of benefits box causing claim assignment codes to be marked wrong. This especially affected data entry users who were used to the field defaulting to Yes.
Fixed problem with attending PIN/UPIN and NPI not sending in 837I transactions - also made sure it auto-fills from provider/address files, and warns when missing NPI for Medicare claims.
Fixed broken web check feature in 3.1.3 due to use of proxy server settings being broken
Corrected PIN qualifier lists that appear in popup lists from 1500 form to match NUBC guide

3.1.3 - 7/13/07
Additions
Added UB-04 code-code fields
Added Contract Info fields to 837P and 837I claim editors
Added diagnosis codes 5-8 and Vision fields for 837P claim editor
Added proxy server support for getting updates
Added UltraCare remittance export option (draft version)
Added last transmission time to Setup/Mailboxes screen
Added ISA-04 option to Mailbox settings, Advanced tab
New payer ID for DMERC Region C
Label now displays on form image tab of claim editor screens when number of services is greater than the form allows
Changes
Blue Cross California set to require state license numbers rather than just sending PIN as state license, in preparation for upcoming system changes
EMOMED web script updated
Anthem, BCBS Vermont, and Univera BBS scripts updated
Changed provider accepts assignment indicator to default to No, added logic to synchronize insured assignment of benefits fields to provider accepts assignment indicator on import
Online help updates
Fixes
Fix for claim importers duplicating providers in some cases

3.1.2 - 6/13/07
Additions
Fine-tuning of provider matching logic is the primary reason for this update
Less Strict Provider Match option on Setup/Site Options to make provider matching work 'the old way'
Fixes
Fix to prefer printing Referring Physician UPIN over PIN on 1500 paper forms
Fix for KMAP and EMOMED web scripts
Fix for importing NDC codes from service notes - now leaves the note
Rendering provider PIN overrides not working

3.1.1 - 6/1/07
Additions
New UB04 forms and full NPI support in Claim Editor and import maps
Fixes
Fixes for some Medicares rejecting when NPI and Tax ID are not both present
Improved billing provider matching on imports

3.1.0 - 5/18/07
Additions
New 1500 forms and full NPI support in Claim Editor and import maps
Added SSH support for BCBS Vermont
Added receiver enrollment instructions and special mailbox setup comments to display on Setup/Mailboxes screen
Added queues feature for batches
Added support for viewing Availity EBR files
Added setting to control sending of REF*SY for Medicare's that want it
Changes
Pennsylvania Medicare transmit script updated
Fixes
Fix for UB92 continuation claims missing line 23 on second page
Fix for updating payer aliases from Claim Editor losing claim office number
Fix for default values on checkbox fields not working as expected