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EMS Fast Cash Updates Software release notes
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Updates / Updates 2003–2004

Updates 2003–2004

04/01/2003 – 03/31/2004

195 release notes in this period.

V16.0 04/01/2003
  • Formfeed problem printing to Windows print devices corrected.
V16.1 04/02/2003
  • Electronic claims to new GA Medicaid approved.
  • Incident control number added to Paycode 2 screen (used in block 22 of HCFA 1500 form).
  • Old GA Medicaid Paycode 2 information removed.
  • HCFA 1500 form modified for GA Medicaid to print type of service 9 in block 24C.
  • Patient list heading improved.
V16.2 04/03/2003
  • The wording for option "P" in the Patient signature source code was modified to say, "Signature generated by provider because the patient was not physically able to sign for services".
  • Changes made to ANSI 837 electronic claims for FL Medicare
  • New flag added to page 4 of COMPANY file that controls the default value of PATIENT screen "Save Info" field when adding a new patient.
V16.3 04/08/2003
  • AL Medicaid electronic claims extraction program error messages improved.
V16.4 04/08/2003
  • Print one invoice now always prints the invoice reguardless of the selection rules.
  • New �privacy notice sent� field added to PATIENT file. A single �X� is printed on the perforation line of the invoice, if the field is �N�.� The flag is set to �Y� after the invoice is printed. This �X� marker can be used to remind you to include a privacy notice in the envelope with the invoice the first time a patient is billed.
V16.5 04/10/2003
  • AL Medicaid no longer allows a 2 nd modifier in claims for dates of service on or after 1/15/2003. Both the electronic claims extraction program and the HCFA 1500 form modified.
V16.6 04/11/2003
  • Added support for 6 character HCPCS codes.
  • Corrected problem with WINPRINT printing extra page at end of printout.
V16.7 04/11/2003
  • Corrected V16.1 bug with VEHID missing in print invoice report.
V16.8 04/14/2003
  • Added �7 - Retrieve Claim Status From Medicaid� to GA Medicaid Telecom menu. When selected an entry is created in the Outbox to allow connecting to GA Medicaid to retrieve response files. This entry does not contain any claims to transmit. It is only used to make the connection. Since response files are not easily read, everyone should get a Web Portal account to retrieve the response files.
  • Connect and logon
  • Select option �5� File Areas
  • Select option �F� File Area
  • Select option �#1� for file number 1
  • Select option �D� to download selected file
  • Select option �#1� to download file number 1
  • Select option �Z� to use Zmodem protocol
  • Click the �Receive File� button on the toolbar
V16.9 04/15/2003
  • Added new field to INSURANCE file to control printing of Block 24H on HCFA1500 form. Most carriers require a �N� in block 24H.� Medicare requires a BLANK in block 24H.
V16.10 04/15/2003
  • Corrected printing of Block 22 on HCFA1500 form for Medicaid claims.
V16.11 04/16/2003
  • New Y/N flag added to page 4 of COMPANY file.
  • Overwrite existing secondary narrative when ICD-9 code changed: Y/N
V16.12 04/16/2003
  • Print files improved.
V16.13 04/17/2003
  • Improved ANSI 837 extraction to remove commas, periods, and trailing white space.
  • FL Medicare electronic claims now supports retreiving response files.
EmsClaims V1.32
  • Now supports retreiving response files from FL Medicare.
V16.14 04/18/2003
  • New FROM/TO street field added to FROMTO file. When specifing the origin or destination of the ambulance trip on page 2 of the invoice screen, a FROM/TO code is selected to� point to the desired FROM/TO location record. The FROM/TO code is used to specify:
  • name/description of the location
  • default street
  • city
  • state
  • zip code
V16.15 04/21/2003
  • Homeland Security and the Tennessee Department of Health in Tennessee is asking ambulance services to email an exported data file containing information useful in tracking bioterrorism incidents or infectious outbreaks. Select Monthly Menu Option 8 - Export Data and then Exports Option 9 � Export Homeland Security Data .
  • A new time of pickup field was added to the invoice as requested by Homeland Security. Note that this field is not used for billing purposes at this time.
  • The exported file is saved in the data directory indicated on page 5 of the COMPANY file.
  • The exported filename is the first 2 characters of your company name plus the month, day, and year in the format MMDDYY. The file type is .TXT.
  • The file should be exported and emailed every day.
V16.16 04/22/2003
  • Improvements to Export Homeland Security Data made.
V16.17 04/23/2003
  • Statement printed date is now set when an invoice is printed if the statement printed date was blank before (only occurs if patient has only one invoice).
V16.18 04/23/2003
  • List of 10 supplies now displays DEFAULT field.
V16.19 04/25/2003
  • New field added to INSURANCE screen to control printing Block 24C on HCFA 1500 form. Most carriers accept a blank in this box; however, AL, GA, and TN Medicaid require a �9�.
V16.20 04/28/2003
  • G/L transaction log improved to show all writeoff types and totals.
  • New flag added to page 4 of COMPANY file to enable/disable editing/deleting memos.
  • FL Medicare approved ANSI 837 transmissions.
  • Posting payments F2 writeoff for insurance now computes allowed amount from charge and supply file information. The definition of the SUPPLY file Medicare allowed amount field changed to Medicare/Insurance allowed amount.
V16.21 04/29/2003
  • Corrected from and to names on invoices.
V16.22 05/01/2003
  • Problem with ISA07 for GA Medicaid electronic claims corrected.
  • Homeland Security export for TN modified to have separate ICD-9 and description fields.
V16.23 05/02/2003
  • GA Medicaid Adjustment Request form (DMA 501) is used by the new carrier.
V16.24 05/05/2003
  • Corrects problem with electronic claims if AL Medicare provider number is different from BC/BS of AL provider number.
V16.25 05/07/2003
  • EDI Healthcare clearinghouse extraction program modified to support Tri-Care.
EmsClaims V1.33
  • Now supports displaying electronic report files from AL/GA/MS Medicare.
V16.26 05/12/2003
  • Event logging added to Medicare NSF and ANSI 837 electronic claims.
V16.27 05/16/2003
  • Event logging bug (V16.26) in ANSI 837 electronic claims corrected.
  • New item �5 � List Statement Printed on Date� added to Print Monthly Statements menu.
  • New field, date of last statement, added to �2 � Export Payor Data� file.
V16.28 05/19/2003
  • New option added to INSURANCE� file for printing HCFA1500, block 29.� Option 6 causes block 29 to only include payments to paycodes 1 thru 7.� This option should be used for GA Medicaid.
  • GA Customers � Edit INSURANCE file record MEDICAID and change block 29 to option 6.
V16.29 05/19/2003
  • Added ability to retrieve response files in AL, GA, and MS with ANSI 837 file format.
  • Added edit check to prevent FROM/TO name being BLANK.
V16.30 05/20/2003
  • Corrected FROM/TO on contract statements.
V16.31 05/20/2003
  • Added new MISC Report (option 4) to �List Records Using Specified Insurance Code�.
V16.32 05/22/2003
  • Added batching BCBS/AL claims with AL Medicare ANSI 837 claims.
  • Improved memos to automatically remove leading and trailing white space before and after editing.
  • Corrected issue with setting date statement printed.
V16.33 05/27/2003
  • New export option (option A) added to export list of invoices by selected patient code.
  • Filename: EXPORT10.DAT
  • Column 1 � Invoice
  • Column 2 � Patient�s name
  • Column 3 - Date of service
  • Column 4 � Total charges
  • Column 5 � Total payments
V16.34 05/27/2003
  • New export option (option B) added to export list of outstanding invoices for selected year. Collection invoices are not included.
  • Filename: EXPORT11.DAT
  • Column 1 - Invoice
  • Column 2 - Date of service
  • Column 3 � Total charges
  • Column 4 � Total payments
  • Column 5 � Invoice balance
V16.35 05/28/2003
  • ANSI 837 change made for AL BC/BS claims.
V16.36 05/29/2003
  • ANSI 837 improvement made for cases where patient is not subscriber.
  • Added support for entering wildcards (* and ?) when selecting payor for �Print Aged A/R Report by Current Payor�. For instance, entering �M*� matches all payors that begin with the letter �M�. Entering �MEDICA??� would match �MEDICARE�, �MEDICAID�, and any other code that began with the letters �MEDICA�
  • Added two new rules for default charges:
  • User defined code
  • Primary payor insurance code (wildcards * and ? supported)
EmsClaims V1.34
  • AL Medicare now generates text based response files for ANSI 837 transmissions (V1.33 addition no longer required).
V16.37 05/30/2003
  • Support added for KY Medicare ANSI 837 electronic claims.
V16.37 05/30/2003
  • Support added for KY Medicare ANSI 837 electronic claims.
V16.38 06/03/2003
  • ANSI 837 improvements made to HL records and filtering of invalid characters.
V16.39 06/04/2003
  • ISA segment in ANSI 837 is no longer filtered for special characters.
V16.40 06/06/2003
  • New option added to Exports Menu, �C � Export List Of Payments With Age�.
  • Allow user to select range of payment dates for the payments to be exported
  • Allow user to select desired age boundary (N days)
  • Compute age based on payment date and date of first charge
  • Payments to paycodes 8 and 9 and payments marked as accounting adjustments are not exported.
  • Creates a data file, EXPORT12.DAT, with the following columns:
  • Invoice code
  • Amount of payment
  • Age in days
  • Amount if age <= N days or 0
  • Amount if age > N days or 0
V16.41 06/17/2003
  • Corrected V16.32 bug concerning deleting a memo.
V16.42 06/18/2003
  • Electronic claims data, CA0 � Field 09, for clearinghouses corrected.
  • HCFA1500 form improved for GA Medicaid.
V16.43 06/19/2003
  • HCFA1500 form improved for GA Medicaid. Block 29 always zero if primary is Medicare.
  • Event logging added to clearinghouse extraction program.
V16.44 06/20/2003
  • Improved option in INSURANCE screen to control how to print modifiers in block 24D of HCFA1500 form. Some insurance carriers, for instance Railroad Medicare, only want to see one modifier.
  • 1 � one modifier
  • 2 � two modifiers
  • 3 � three modifiers
V16.46 06/25/2003
  • HCFA1500 form improved for GA Medicaid ICN number.
V16.47 06/26/2003
  • Improved Medicare expected payment report now skips invoices with zero or negative balances and charges marked as accounting adjustments.
  • At this time GA Medicaid is unable to electronically process crossovers from Medicare. Instead these claims must be filed using the HCFA1500 form and the word �CROSSOVER� should be written on the top of the form. Block 29 should be zero or blank and block 33 should contain your Medicaid provider number. A copy of the Medicare EOB should be included.
EmsClaims V1.35
  • File viewer now defaults to CDEDIT.EXE.
V16.48 07/01/2003
  • Modified GA Medicaid electronic claims to include claim frequency value.
  • GA Medicaid has published a billing procedure manual:
  • www.ghp.georgia.gov
  • Select Provider Information tab (no need to log in)
  • Select Medicaid Provider Manuals
  • Select View Full List
  • Select Billing Manual
V16.49 07/02/2003
  • GA Medicaid changes not implemented.
V16.50 07/07/2003
  • Modified HCFA1500 form to accomadate GA Medicaid. New option 3 added to block 30 in INSURANCE file options.
  • Georgia customers should edit the MEDICAID insurance record:
  • Block 29 � Option 3 � Include payments to paycodes 3, 4, 5, and 6.
  • Block 30 � Option 3 � Block 28 minus payments to all paycodes except 7 (see V16.53 update).
V16.51 07/07/2003
  • HCFA1500 modified to ignor the patient�s employment status when deciding where to mail the claim.
V16.52 07/08/2003
  • Printing invoices improved to include entire from and to addresses. HCFA1500 improved to include from street address in block 32.
V16.53 07/10/2003
  • It has been reported that GA Medicaid wants block 30 of HCFA1500 form to be Option 1 � Block 28 minus Block 29.
  • HCFA1500 program now prints place of service code 41 for Kentucky Medicaid claims with dates of service on and after 7/1/2003.
  • Handling of block 21 on HCFA1500 program improved. New options added to INSURANCE file to control how block 21 is printed. It has been reported that GA Medicaid wants option 2:
  • 1 � Print both ICD codes only
  • 2 � Print both ICD codes and descriptions
  • 3 � Print primary ICD code only
  • 4 � Print primary ICD code and description
  • 5 � Print multi-line diagnosis narrative
V16.54 07/11/2003
  • Writeoff old invoices improved to ignor marked payments.
  • Improvements made to logon process for customers using Citrix or Microsoft terminal services. On startup if the computer name is not found in the USER file, the user is now prompted to enter their logon name.
V16.55 07/15/2003
  • ANSI 837 improved for GA Medicare to include destination facility information.
  • Block 19 destination zip code added.
EmsClaims V1.37
  • Date extracted added to Inbox and Sent folder displays.
V16.56 07/16/2003
  • ANSI 837 improved for AL Medicaid.
  • New destination place of service code added to FROMTO file for KY Medicaid . HCFA1500 modified to print new code in block 24B for dates of service on or after 7/1/2003. KY Medicaid users must update the� FROMTO file with valid codes:
  • 11 � Office
  • 12 � Home
  • 21 - Inpatient Hospital
  • 22 - Outpatient Hospital
  • 23 - Emergency Room � Hospital
  • 24 - Ambulatory Surgical Center
  • 25 - Birthing Center
  • 31 - Skilled Nursing Facility
  • 32 - Nursing Facility
  • 33 - Custodial Care Facility
  • 34 � Hospice
  • 41 - Ambulance � Land
  • 42 - Ambulance - Air or Water
  • 51 - Inpatient Psychiatric Facility
  • 53 - Community Mental Health Center
  • 54 - Intermed. Care Facility/Mentally Retarded
  • 55 - Residential Subst. Abuse Treatment Center
  • 56 - Psychiatric Residential Treatment Center
  • 61 - Comprehensive Inpatient Rehab Facility
  • 62 - Comprehensive Outpatient Rehab Facility
  • 65 - End Stage Renal Disease Treatment Facility
  • 71 - State or Local Public Health Clinic
  • 72 - Rural Health Clinic
  • 81 - Independent Laboratory
  • 99 - Other Unlisted Facility
V16.57 07/17/2003
  • ANSI 837 improved for FL Medicaid.
  • New pregnancy indicator added to PAYCODE2 file for FL Medicaid.
  • Corrected event log problem in Clearinghouse electronic claims extraction program.
V16.58 07/17/2003
  • Corrected problem with AL Medicare ANSI 837 and BC/BS of AL batches extracting together.
  • Modified �Payments Received This Month� review report to include invoices with zero balance.
V16.59 07/18/2003
  • Changes for AL Medicaid ANSI 837 made.
  • Changes for FL Medicaid ANSI 837 made.
V1.38 - 07/23/2003 - EmsClaims
  • Right anchor on main form set true.
V16.60 07/23/2003
  • Changes for FL Medicaid ANSI 837 made; EDIFECS test approved.
  • Electronic claims authorized signature field added to COMPANY file. This field must be non-blank.
  • ANSI 837 for AL Blue Cross and Blue Shield modified to use PIN number in INSURANCE file.
V16.61 07/25/2003
  • ANSI 837 modified to set the control numbers and group numbers to the same value.
  • Problem corrected with BC/BS of AL electronic claims not receiving primary modifier.
V16.62 07/29/2003
  • New export program (Option D) creates list of invoices between a selected range of service dates that have a charge with a specified HCPCS code.
  • Export filename: EXPORT13.DAT
  • Fields:
  • Invoice code
  • Service date
V16.63 07/30/2003
  • A new place of service field was added to the invoice.� This field is used when printing HCFA1500 forms and when electronically transmitting. For most carriers the values are:
  • 41 � land ambulance
  • 42 � air or water ambulance
V16.64 08/04/2003
  • Changes made to ANSI 837 electronic claims for AdminaStar Federal (KY Medicare).
  • New export added (E � Export list of patients needing privacy notice).
  • Only active patients considered.
  • Patients with bad addresses are not extracted.
  • Filename created: EXPORT14.DAT
  • Fields in comma delimited file:
  • Patient�s first name
  • Patient�s middle initial
  • Patient�s last name
  • Mailing address #1
  • Mailing address #2
  • Mailing address #3
  • Mailing address #4
  • Mailing address #5
V16.65 08/06/2003
  • Block 19 (option 2) destination zip code now prints correctly on HCFA1500 form.
V16.66 08/07/2003
  • Block 22 on LA Medicaid form now prints correctly.
V16.67 08/11/2003
  • End of month improved to delete the transaction log for users that don�t run cleanup each month.
  • Cleanup no longer deletes invoices that have no charges posted.
V16.68 08/11/2003
  • Phone number removed from the CITY file; the area code remains.
V16.69 08/11/2003
  • List of payments by date financial report improved to allow printing payment descriptions.� The patient code was also added to the report.
  • ANSI 837 modified for KY Medicare.
V16.70 08/12/2003
  • Billing type 5 added to COMPANY file (page 3) to support DME (durable medical equipment) billing.� When enabled, a second service date can be entered. The place of service should be code 12 (residence). Invoices and HCFA1500 were modified to support the new billing type.
V16.71 08/14/2003
  • Problem with V16.70 HCFA1500 support for DME corrected.
  • Corrected problem when adding new invoice, Homeland Security time was being updated from old invoice.
  • New driver code that references the EMT file added to page 2 of the invoice. This is an optional (may be left blank if desired) entry field in most states. The field is used in a new report that list the total calls for each EMT/Driver. To print the new report, select the PRINT pulldown menu, then �B-Print Miscellaneous Reports�, then �5-List EMTs and Total Calls�.
  • Customers who have been entering the driver information in the PAYCODE2 screen (LA), must now enter the driver code in the invoice. The program will continue to use the paycode2 driver information for old invoices.
  • Improvements made to ANSI837. You can�t release medical information if no signature is on file. Also, you can�t transmit if the electronic signature in the COMPANY file is blank.
V16.72 08/15/2003
  • Problem with HCFA1500 block 21 when option 5 used in the insurance record corrected.
  • Update program improved to look for both UPDATE.BAT and UPDATE.TXT files on the update drive.� This now allows updates to be sent via email without having to send the batch file which some email servers disallow for security reasons.
V16.73 08/15/2003
  • KY Medicare ANSI 837 now uses addendum A1.
  • ANSI 837 problem with destination address corrected.
  • ANSI 837 problem with BC/BS of AL provider number corrected.
  • ANSI 837 better error checking added.
V16.74 08/15/2003
  • More ANSI 837 changes.
V16.75 08/18/2003
  • Problem adding new invoice (flag21 not defined) caused by V16.70 update corrected.
V16.76 08/18/2003
  • Problem corrected restoring old backups from 1997 or before.
V16.77 08/19/2003
  • Clearinghouse electronic claims (NSF) improved to consider transmiting secondary insurance if primary rejects.
V16.78 08/22/2003
  • Improved ANSI 837 error checking. TN Medicare now using addendum A1.
V16.79 08/22/2003
  • AL Medicare and BC/BS of AL now using addendum A1 of ANSI 837.
  • GA Medicaid (GHP) is saying you should wait 45 days after being paid from Medicare before filing a paper crossover claim.
V16.80 08/28/2003
  • Paycode 2 ICN control number cleared when adding new invoice.
  • New option 6 added to past due patient list (>365 days past due).
V16.81 09/04/2003
  • Problem with V16.80 clearing paycode 2 ICN corrected.
V16.82 09/04/2003
  • Warning added to print 1 statement if patient has bad address.
V1.39 - 09/08/2003 - EmsClaims
  • Viewing zipped files improved.
V16.83 09/08/2003
  • Improved city validation in FROM/TO edit screen.
V16.84 09/09/2003
  • Improved print screen (ALT+P) now uses the REPORTS printer device and works with all printer devices including Windows printer drivers.
V16.85 09/09/2003
  • Improved ANSI 837 error checking: blank primary ICD code not allowed.
V16.86 09/10/2003
  • Problem with �*NM1*PR� segment in ANSI 837 corrected.
V16.87 09/10/2003
  • New F10 filter function added to �List of Patient� screen.
  • Problem with V16.84 print screen fixed.
V1.40 - 09/10/2003 - EmsClaims
  • Problem with AL/GA/MS billing agencies transmitting multiple batches during one session corrected.
V16.88 09/12/2003
  • ANSI 837 electronic claims now removes all numerics from From/To location names as required by AL Medicare.
  • ANSI 837 modified for AL Medicare to allow first 4 digits of Medicare provider number to be something other than �0000�.
  • Recently TN Medicare were assigned a new logon to begin electronically transmitting HIPAA compliant ANSI 837 file format claims. After connecting to the Medicare computer and logging on, the following steps must be done to enable correct transmission of the file. Select 1 � Mailbox Access Facility Select 0 � Set User Defaults Select 5 � Set Data Type Select 4 � Send_ANSIClaims Select 6 � Upload: Put a file in Mailbox Click the Transmit File button on the toolbar If you have sent any batches previously without setting the proper data type, those batches should be retransmitted .
  • Customers using the EmsClaims program for the first time, should be aware that when the batch is extracted, the date filed is immediately set (the claim is not marked for transmission).
V1.41 - 09/12/2003 - EmsClaims
  • Improved status messages for AL/GA/MS sessions.
V16.89 09/15/2003
  • NSF 3.01 GA0 field 18 and 19 improved to include complete address.
V16.90 09/16/2003
  • NSF 3.01 GA0 field 18 and 19 modified for MS Medicare to include name and address.
  • Note to all customers: Medicare�s new HIPAA compliant electronic claims does not allow numerics in the FROM/TO �location/description� field. Some customers are accustom to putting zip codes in this field. This technique should be discontinued. The program will filter out all numerics that are entered before transmitting.
  • Some customers have forgotten to enter a value in the �Electronic Signature� field in the COMPANY file on page 1. If this field is blank, the new HIPAA compliant electronic claims system will reject the entire batch.
  • Any batches transmitted with the above problems should be retransmitted.
  • The TN Medicare response reports were designed to be printed on wide paper. Select �Landscape� mode in printer setup before printing the report for best results.
V16.91 09/18/2003
  • Added new level 1 and 2 edits to ANSI 837.
  • Fixed list of 10 scrolling problem with CITY file.
  • Improved update program to handle old backups that do not contain TECH_PF field.
  • Corrected problem with alias not found error in TELECOM1 program.
V16.92 09/19/2003
  • Added new level 2 edit to ANSI 837 for PCS narrative.
V1.42 - 09/20/2003 � EmsClaims
  • Improved error checking and status messages for AL/GA/MS sessions.
  • Clear screen display for TN Medicare after TX or RX file.
V16.93 09/23/2003
  • HCFA1491 form improved to print full orgin/destination address.
V16.94 09/25/2003
  • NSF 3.01 GA0 field 18 and 19 modified for AL Medicare to include name and address.
  • Improved printing of FROMTO file.
  • Modifing �Report� printer device now correctly updates ALT+P printscreen device.
  • HCFA1500 print all or print range now only includes �Active� invoices.
V16.95 09/26/2003
  • Added charge description to ANSI 837 for TN Medicare.
  • Improved printing of HCFA1500 for GA Medicaid (block 11).
  • GA Medicare ANSI 837 moved to addendum A1.
  • FL Medicaid ANSI 837 now supported.
  • NSF 3.01 extraction modified to handle last names like O�Brian. In the patient file, enter the patient�s name as �O�Brian� or �O Brian�. The extraction program will substitute a space for the ��� character.
V1.43 - 09/26/2003 - EmsClaims
  • Improved for FL Medicaid.
V16.96 09/29/2003
  • Improved ANSI 837 level 2 edits, patient�s street address cannot be blank.
V16.97 09/30/2003
  • Corrected paging problems with Operations Report.
  • Effective 10/3/03 GA Medicaid is requesting the From/To information in block 19 of the HCFA 1500 form. The program supports this by selecting option 2 for block 19 in the MEDICAID insurance record.
V16.98 10/02/2003
  • NSF 3.01 electronic claims modified to skip charge items with negative quantities.
V16.99 10/03/2003
  • Improved ANSI 837 error checking of invalid medigap codes.
V16.100 10/07/2003
  • ANSI 837 modified to not transmit Medigap information if the insured�s date of birth is unknown.
V16.101 10/08/2003
  • Since some carriers are requiring odd values for the place of service field, all validation for this field has been removed.
  • In Kentucky if the primary payor is Medicaid and the call is an emergency, the place of service defaults to �23� instead of �41�.
V16.102 10/08/2003
  • EMT report improved to sort by total calls.
V1.44 - 10/09/2003 - EmsClaims
  • Corrected problem with temp folder name being more than 8 characters.
V16.103 10/09/2003
  • If the street address is blank in the FROMTO file, the street address in the INVOICE is not modified when the FROMTO code is changed.
V1.45 - 10/09/2003 - EmsClaims
  • New feature added to allowing connecting to a remote system using parameters (telephone number, user id, and password) obtained from a file in the Sent folder. Just select the file in the Sent folder and click the Connect button on the toolbar. This allows you to connect and download audit reports even though you may not have any new claims to transmit.
V16.104 10/09/2003
  • A new feature was added to allow the seamless change of supply rates based on the invoice�s date of service (see V16.105).
V16.105 10/10/2003
  • Rate changes can now be made based on the invoice�s date of service. New fields were added to the SUPPLIES file to allow specifing� 2 unit prices and the starting date of service for the second price.
  • Unit price #1
  • Unit price #2
  • Date of service #2 � rate changes to unit price #2 on this specified date
V16.106 10/10/2003
  • The new ANSI 837 file format requires that the total miles be included even if you do not bill for mileage. A new flag was added to the COMPANY file (page 4) to indicate whether you bill for mileage or not. If you do not bill for mileage, a new data entry field will appear on page 2 of the invoice that allows you to enter the total miles; otherwise, the program will get the total miles from the posted charges.
V16.107 10/12/2003
  • HCFA 1500 form modified for KY Medicaid:
  • Block 19 prints location of pickup code (from origin FROMTO record) and military time of pickup (from PAYCODE2 record).
  • Block 24B prints place of service (from page 2 of INVOICE).
  • Block 24K prints destination code (from destination FROMTO record).
V16.108 10/14/2003
  • FL Medicaid electronic claims modified (ANSI 837, ISA08).
V16.109 10/16/2003
  • Improved AL Medicaid logic for 2 nd modifier.
V16.110 - 10/176/2003
  • KY Medicaid military problem corrected.
V16.111 10/20/2003
  • Problem with Export #6 corrected.
V16.112 10/24/2003
  • Improvements to ANSI 837 were made. The first 80 characters of the secondary diagnosis information will now be transmitted if there is no physician�s certification statement on file; otherwise, the PCS information is transmitted. The file format does not allow us to transmit both. The purpose of stretcher narrative is transmitted if a stretcher is indicated in the condition indicator field. Make sure that in one or more of the narrative fields the patient�s condition and why an ambulance was necessary is clearly indicated. Also, claims that do not contain an ICD-9 code can now be transmitted. It is our understanding that ICD-9 codes are not required by Medicare; however, they may help support justifing the ambulance trip. Also, other carriers do require the ICD-9 code even though Medicare does not. Note that the primary diagnosis description is not transmitted; Medicare already knows what the ICD-9 code means.
V16.113 10/26/2003
  • NSF clearinghouse electronic claims improved to include hospital admit and discharge dates.
  • HCFA1500 form printing of block 9 and 11 improved.
  • Additional message lines added to message numbers 1, 41, and 51.
V16.114 10/28/2003
  • Zero total miles can now be transmitted using ANSI 837 (dead on arrival cases for instance).
V16.115 10/28/2003
  • Posting charges for AL no longer automatically adds 2 nd modifier �5A� to oxygen charge.
V16.116 10/30/2003
  • Level 2 edits for ANSI 837 improved. Blank notes detected. Blank or no signature detected.
V1.46 - 10/30/2003 - EmsClaims
  • Corrected problem if connect clicked when outbox empty. Also enlarged inbox listbox.
V1.47 - 11/01/2003 - EmsClaims
  • Corrected problem for FL Medicare when receiving response files by selecting batch in Sent folder and connecting.
V16.117 11/05/2003
  • AL Medicare has notified us that they will have the zero mileage problem corrected by 11/6/03. They will no longer reject claims that have zero miles. MS and GA Medicare are being notified of the problem.
  • Some customers have received PR-50 rejections (not medically necessary) on their EOB because Medicare was not receiving any narrative information about the condition of the patient and why the patient needed to be transported by ambulance. If a stretcher was used in the transport, be sure you�re specifing the �S� in the condition field. After several discussions with Medicare tech support, we are now able to transmit all narrative information (primary diagnosis, secondary diagnosis, purpose of stretcher, purpose of round trip, and physicians certification statement) using the ANSI 837 format.
V16.118 11/07/2003
  • Removed charge description (not used) from ANSI 837.
V16.119 11/10/2003
  • Changes made in V16.118 to allow transmitting all narrative information with the ANSI 837 file format are not working. Any ANSI 837 batches sent with the V16.118 program should be reset, reextracted, and retransmitted. Here is the new logic to transmitting narratives:
  • If a stretcher was used, the program transmits the purpose of stretcher narrative (80 chars).
  • If a round trip was indicated (not recommended, use 2 invoices instead), the program transmits the purpose of round trip narrative (80 chars).
  • If the secondary diagnosis is non-blank, the program transmits the first 80 chars of the secondary diagnosis.
  • If the secondary diagnosis is blank and the PCS narrative is non-blank, the program transmits the PCS information.
V16.120 11/11/2003
  • Level 2 edit improved to catch blank purpose of round trip.
V1.48 - 11/11/2003 - EmsClaims
  • AL/GA/MS now correctly skips trying to transmit empty files.
  • TN Medicare terminal window now uses larger font.
  • On some systems CDEdit does not correctly print in landscape mode when "Printer Setup" selected. Selecting "Print" and then "Properties" and then selecting landscape mode does work.
  • AL Medicaid electronic claims now correctly shows extraction date in EmsClaims.
V1.49 - 11/13/2003 - EmsClaims
  • Changed FL Medicare back to XModemCRC protocol.
V16.121 11/13/2003
  • ANSI 837 problem with Medigap situations corrected.
  • New field, date invoice reviewed, added as last field in export #2.
V16.122 11/18/2003
  • Changes made to ANSI 837 program for AZ Medicare.
V16.123 11/21/2003
  • Corrected problem with Export 11 and added new patient code field.
V16.124 11/24/2003
  • Export 11 improved to allow selecting whether to include zero and negative balance invoices.
V16.125 11/24/2003
  • Problem with Export 2 change in V16.121 corrected.
V16.126 11/25/2003
  • New export added (F - Export A/R balances for invoices with dates of service in the selected year).
  • Filename created: EXPORT15.DAT
  • One record created
  • Fields in comma delimited file:
  • A/R Balance for January thru December (12 columns)
  • Total A/R Balance for Year
V16.127 11/25/2003
  • New 2310B loop added to ANSI 837 for AL Medicaid.
V16.128 12/02/2003
  • HCFA1500 improved to give option to enter invoice status for print job.
V16.129 12/04/2003
  • Balance due statements now allow specifing invoice status.
  • Login now shows computer name.
V16.130 12/05/2003
  • Faclity reference id qualifier in ANSI 837 for Medicaid corrected.
V16.131 12/09/2003
  • Problem transmitting GA Medicaid claims (ANSI 837) with prior approval numbers corrected. Any batches containing claims with prior approval numbers should be retransmitted.
V16.132 12/12/2003
  • Support for new AL Medicaid ANSI 837 electronic claims completed.
  • Problem updating program using CD-ROM corrected.
V1.50 - 12/12/2003 � EmsClaims
  • Added support for AL Medicaid electronic claims to website.
  • New AL Medicaid provider electronic solutions program used to download response files available at:
  • http://www.medicaid.state.al.us/SOFTWARE/pes.htm
V16.133 12/12/2003
  • Printing list of patients with bad addresses contains new invoice status filter.
  • Problem with printing HCFA 1500 block 19 purpose of stretcher corrected.
V16.134 12/15/2003
  • Added support for AZ Medicare ANSI 837 electronic claims.
V1.51 - 12/15/2003 - EmsClaims
  • dded support for AZ Medicare BBS for ANSI 837 electronic claims.
V16.135 12/16/2003
  • Corrected problem with V16.132 moving AL Medicaid submitter ID to new field.
V16.136 12/17/2003
  • PWK segment removed from all ANSI 837 claims. This corrects problem with GA Medicaid holding claims waiting on attachments.
V16.137 12/17/2003
  • AL Medicaid transmit menu option now correctly runs EmsClaims program.
V16.138 12/18/2003
  • New level 1 edit added to ANSI 837 to insure correct federal tax id format.
V16.139 12/22/2003
  • Corrected problem with destination location and address for GA Medicare ANSI 837 electronic claims. Also, the destination is always transmitted, not just the hospital to hospital claims.
V16.140 12/23/2003
  • Rendering provider information removed from ANSI 837.
V1.52 - 12/30/2003 - EmsClaims
  • Added support for multiple viewers (use SETUP to select desired viewer). The default viewer is "CDEDIT"; however, "NOTEPAD" is also a good option.
V16.141 01/02/2004
  • Level 2 edit added to ANSI 837 for AL Medicaid to catch blank ICD-9 code errors.
V1.53 - 01/03/2004 - EmsClaims
  • Improved TN Medicare electronic claims. If you have trouble downloading files be sure that ZModem text mode is selected in the default options.
  • Improved AZ Medicare electronic claims using ZModemFinishRetry and FinishWait values.
V16.142 01/07/2004
  • Corrected problem with ALT+P print screen function modifing current selected table.
V16.143 01/07/2004
  • New miscellaneous report added: List Invoices for Date of Service. The report prints a list of invoices grouped and sorted by date of service for any selected month/year. Both detail and summary charges, cash payments, non-cash payments, and amount due are shown.
V16.144 01/08/2004
  • ANSI 837 improved level 2 edit checks for blank patient zip code.
V16.145 01/09/2004
  • Corrected problem with ALT+P print screen function modifing current page.
  • Logic in printing statements was modified so that invoices where Medicaid has rejected do not print. Just because Medicaid rejects payment does not mean that the patient is not a Medicaid patient.
  • Georgia Medicaid has eliminated their old round trip base rate codes. When billing a round trip or the 2 nd trip on the same day, the �ET� modifier (extra transport) should be used in posting charges (2 nd modifier). At this time the GA Medicaid computer is having trouble processing these type claims; also, there is ambuguity about the effective date of the change, either Jan 1 st or Feb 1 st .
  • Instead of Y0501 use A0429 now with the �ET� 2 nd modifier.
  • Instead of Y0503 use A0427 now with the �ET� 2
  • Instead of Y0502 use A0420 now with no 2 nd modifier.
V1.54 - 01/12/2004 - EmsClaims
  • Now supports viewing .HTM host files from inbox (AZ Medicare).
V1.55 - 01/23/2004 - EmsClaims
  • Now supports viewing .997 files with new EdiView program.
V1.56 - 01/30/2004 - EmsClaims
  • EdiView program now supports viewing AL Medicaid .CSR files, Ansi.997 files, other Ansi files, and any normal text file terminated with a CR/LF.
V16.146 01/30/2004
  • Modified ANSI837 street address format for origin/destination.
  • Added new level 2 edits for ANSI837.
V16.147 02/04/2004
  • Corrected problem with cleanup removing invoices with �0.01 cent balance.
V16.148 02/04/2004
  • New flag added to page 4 of COMPANY file to enable adding a leading formfeed to the HCFA1500 file by modem printouts. This is only needed in Utah at this time.
V16.149 02/09/2004
  • Improved miscellaneous report: List Invoices for Date of Service. The report now allows filtering by invoice status.
V16.150 02/09/2004
  • Improved printing of HCFA1500 form block 10d when Medicare secondary.
V16.151 02/10/2004
  • Improved list of patients with bad address report.
  • ANSI837 improved to remove forbidden characters.
V16.152 02/11/2004
  • Added detail option to �List of Charges by Supply Code� report.
V16.153 02/12/2004
  • Added new data export to invoice print program. If the patient�s privacy notice flag is not set to yes, a data record is exported to the INVOICE.DAT file containing information that can be used to create a consent form letter to be sent to the patient. The INVOICE.DAT file is created in the export folder identified on page 5 of the COMPANY file. The comma delimited file contains the following fields:
  • Invoice code
  • Date of service
  • Patient�s name
  • Patient�s street address
  • Patient�s city
  • Patient�s state
  • Patient�s zip code
  • Invoice user defined code
  • Origin of trip
  • Destination of trip
V16.154 02/13/2004
  • Added invoice status to list payments by invoice financial report.
  • Added warning message if new invoice created with patient record that has bad address.
  • Improved LA Medicaid form to include modifier and correct origin/destination addresses.
V1.57 - 02/13/2004 - EmsClaims
  • EmsClaims improved to automatically display .997 files for TNM1 payor with EdiView.
  • EmsClaims setup now auto registers EdiView with Windows for viewing .997 and .CSR files.
V16.155 02/16/2004
  • Program now automatically creates export/collection folder if it does not exist.
V16.156 02/17/2004
  • ANSI 837 extraction improved to check for blank place of services.
  • Clearinghouse electronic extraction modified to check for non-blank review date if vendor code is �LOGIST�.
V16.157 02/20/2004
  • Statements improved to always included patient code on every page.
V16.158 02/26/2004
  • Printing HCFA 1500 forms for KY Medicaid improved. Only charge modifiers now print in block 24d. Also, military time was removed from block 19. Block 23 improved.
  • A new feature was added to posting charges (R-Reverse) to make editing charges posted to previous periods easier. Point to the unmarked charge posted in a previous period and hit the �R� key. The current charge is automatically marked as an accounting adjustment. In addition a new charge is added, identical to the first charge, except the amount is negative. This new charge is also marked as an accounting adjustment. A third charge is then automatically created with all the fields identical to the first charge. It can be edited to make any desired changes.
V16.159 03/03/2004
  • Improved �List of Invoices by Service Date� to include total calls in summary.
V16.160 03/04/2004
  • Corrected problem with �List Payments by Insurance Company� displaying incorrect date of services.
V16.161 03/04/2004
  • Improved �Print List of Patients With Bad Addresses� to include option to print detailed list of invoices and dates of service.
V16.162 03/04/2004
  • HCFA 1500 form and posting charges improved for KY Medicaid. Charge modifiers default to blanks except for mileage (UA-ALS mileage, UB-BLS mileage).
V16.163 03/15/2004
  • Clearinghouse NSF extraction modified to not include charge description in HA0 narrative field (5.0).
  • Corrected problem with locking record during printing invoices.
  • Corrected problem with printing heading in �List of Payments by Invoice� financial report (summary).
V16.164 03/15/2004
  • A new condition indicator, �A�, was added to indicate that the patient was admitted to the hospital (page 2 of the invoice).
  • Improved �List of Invoices by Service Date� to include summary only option.
  • Improved �Invoices Moved to Collections This Period� to include totals.
V16.165 03/16/2004
  • New fields added to SUPPLIES file to support two Medicare, Medicaid, and Insurance allowed amounts. The second allowed amount takes affect on the entered starting date.
V16.166 03/16/2004
  • Change made to ANSI 837 electronic claims for AZ Medicare (NM1-1000B-Element 9).
V1.58 - 03/16/2004 - EmsClaims
  • EmsClaims improved to automatically display .997 files for AZM1 payor with EdiView.
V16.167 03/23/2004
  • Added new export #16, List of Invoices for Range of Service Dates�. Filename: EXPORT16.DAT Headings Comment Invoice Number Format: xxx-xxxxxx Patient�s Name Format: first + middle + last Total Charges Total charges Care Payment Sum of all payments to paycode 1 Care Adjustment Sum of all payments to paycode 9 and writeoff type A Post Date Date of first Medicare payment Caid Payment Sum of all payments to paycode 2 Caid Adjustment Sum of all payments to paycode 9 and writeoff type B Post Date Date of first Medicaid payment Comm Ins Payment Sum of all payments to paycodes 3, 4, 5, or 6 Post Date Date of first payment to paycodes 3, 4, 5, or 6 Pt Payment Sum of all payments to paycode 7 Other Adjustment Sum of all payments to paycode 9 and writeoff types other than A, B, and D Bad Debt Adj Sum of all payments to paycode 9 and writeoff type D Balance Invoice balance
V16.168 03/25/2004
  • Bug in V16.165 update mistakenly zero�ed the Medicaid allowed amount field in the SUPPLIES file. The field must be non-zero for supplies that should be transmitted to Medicaid. Everyone that was affected was notified by phone.
  • Notice to all AL Medicaid providers:
  • There are certain electronic claim errors that AL Medicaid�s computer cannot currently include in their standard audit reports; therefore, you may receive in the mail from AL Medicaid a printed error report. If you have trouble interpreting the report, don�t hesitate to call for help.
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