INSTALLATION NOTES FOR IHS Third Party Billing Version 2



INSTALLATION NOTES FOR IHS Third Party Billing Version 2.5 Patch #9

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PREFIX: ABM

CURRENT VERSION: 2.5 Patch: 9

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****NOTE*****NOTE*****NOTE*****NOTE*****NOTE*****NOTE*****NOTE************************************************************************

* READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION !!! *

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****NOTE*****NOTE*****NOTE*****NOTE*****NOTE*****NOTE*****NOTE

1. GENERAL INFORMATION

a) Make a copy of this distribution for off-line storage.

b) Print all notes/readme files.

c) Perform a successful backup of the RPMS database.

d) It is recommended that the terminal output during the installation

be captured using an auxport printer attached to the terminal

where the installation is being performed OR that it be captured

using a host file. This will ensure a printed audit trail if any

problems should arise.

2. CONTENTS OF DISTRIBUTION

This patch is inclusive of modifications implemented to previous

patches (1 thru 8) to this version (2.5) of Third Party Billing.

Third Party Billing V2.5 Patch 9 also contains:

a) Service Center calls that include:

1) IM10266-Make Medi-Cal batch approve at such, not as a UB92.

2) IM10625/IM11783-Fix 1500 Y2K box 31 site parameter.

3) IM11865-Dental Fees won't print.

4) IM12048-UB92 FL4 alignment issue.

5) IM12137-Update ASC Fee Schedule to include group 9.

6) IM12287/IM12357/IM16259/IM16660/IM17124/IM18925/IM19012/IM19530

/IM19581-4-digit revenue codes.

7) IM12408-Only active CPTs in claim editor.

8) IM13294/IM16943/IM18758-Admission hour on outpatient claims.

9) IM13815-change bill type when insurer changes on page 2.

10) IM13945-Ability to delete range of codes in claim editor.

11) IM14099/IM19193- error under site parameter maintenance.

12) IM14702/IM16662/IM17968/IM19026-HRN+14^ABMUTL8-lookup

of satellite HRN.

13) IM14745-Addition of Tribal 638 Free-Standing Facility and Tribal

638 Provider-based Facility to 3P Codes file.

14) IM14774-Correction to block 1 and 25 on ADA-94.

15) IM15413-OUTPATIENT CLINIC line printed when EPSDT visit.

16) IM15435/IM18463-Limit 837 NTE segment to 80 characters.

17) IM15457-Correction for POS claims that will filing under

wrong site.

18) IM15533/IM16355-Remove dash from block 1A of 1500B and 1500 Y2K.

19) IM15561-Only print provider state license number on UB92 when

not Medicare.

20) IM15591-Removed spaces and moved POS on 1500B.

21) IM15913-Don't allow DOS before DOB admission/service date.

22) IM15936-Corrections to policy holder/insurer info on Medi-Cal

claims.

23) IM16001/IM19069-Ability to change accident-related.

24) IM16055-Updated description of MEDICARE PART B option under

site parameter maintenance.

25) IM16058-Approve a 0-bill with bill type 110.

26) IM16155-Print patient's ID, not policy holder's on claims.

27) IM16233-Expand EMC PASSWORD to 10 characters.

28) IM16620/IM19692-Removal of code that makes provider rendering

when export mode is 837P or 837D.

29) IM16729-Error when taxonomy code is missing (ABMDE3X+29^

ABMDE3X).

30) IM16769-Changes needed for Maine Medicaid billing to 1500 Y2K.

31) IM16864-Correction to bill suffix for satellites.

32) IM16876-Total each claim page or put CONT if payment made for

1500B and 1500 Y2K.

33) IM16891-Print bill number when claim approved.

34) IM16942/IM19690-Req'd changes for OK Medicaid for provider number

(two numbers needed).

35) IM16962/IM18266-Ask EMC SUBMITTER ID all the time (was only for AZ

Medicaid).

36) IM16991-Req'd changes for San Felipe VT 998.

37) IM17106-Correction for PC1^ABMDE6 on page 6 of claim

editor.

38) IM17233-Removal of decimal point in DXs.

39) IM17247/IM17394-Print MEDICARE for Railroad UB92 claims.

40) IM17270/IM18463-Removal of "~" from data (causes line counter

issues for payer).

41) IM17283-Format admission source to two digits.

42) IM17380-Fix for BILL+4^ABMDRCHK that occurs on

productivity report.

43) IM17398-Change all UB92 references to Medi-Cal on Medi-Cal formats.

44) IM17424/IM19077-Fix DTP segment for Dental claims to use date,

not time.

45) IM17574-Alignment issues with ADA-94.

46) IM17729/IM18378/IM19357-Anesthesia minutes calculate correctly.

47) IM17778-Don't print source of admission for AZ Medicaid on UB92.

48) IM17789- error under Add/Edit Insurer.

49) IM17793-DISPDET+24^ABMECDSP at Karuk.

50) IM17864/IM18979-Check in claim generator for merged insurers when

doing updates to generated claims.

51) IM17888-Put RX Number on UB92.

52) IM18032-Populate FL37 on UB92 and ICN/DCN on 837.

53) IM18318/IM18329-Correction for error at PTAX+16^ABMEEPRV.

54) IM18472-Don't allow two ICDs to have same priority in claim

editor (was happening in claim generator).

55) IM18516/IM19631-Addition of Delayed Reason Code.

56) IM18706-Expanded EMC FILE NAME to twenty characters.

57) IM18707-FL25 on ADA-94 extended to 12 characters.

58) IM18814-V^DIED error-claim without admit date and they tried

to add discharge date.

59) IM18857-FL45 not printing on UB92.

60) IM18926-Reprint POS claims in TPB on NCPDP format.

61) IM18938-Add rate code to page 2 of claim editor.

62) IM18990-PH+9^ABMERINS error in claim editor.

63) IM19062-Can not change EMPLOYMENT RELATED to "N".

64) IM19140-ABMDVST5+29^ABMDVST5 error in claim generator.

65) IM19203-Add NTE for ambulance claims.

66) IM19291-Supervising Provider and UPIN on page 3 for 837P.

67) IM19294-Allow editing of provider numbers.

68) IM19296-SUBMISSION NUMBER to GROUP CONTROL NUMBER in 3P Tx

Status.

69) IM19297-Display messages regarding Dxs and Corresponding Dxs

for 837.

70) IM19298-Addition of DATA SOURCE fields in 3P Bill file.

71) IM19299-Check for EMC SUBMITTER ID under visit type, then at

header.

72) IM19302-Correction to error 170 in claim editor.

73) IM19304-Correction to claim generator supplied by Jim Gray.

74) IM19305-Addition of Itemized question to 837I format.

75) IM19339-Extend Prior Authorization Number to 22 characters.

76) IM19365-Correction to deleting claims (0-node was missing).

77) IM19380-BADDR+48^ABMDF25A on ADA-2002 format.

78) IM19392-Removal of FL29 on HCFA-1500.

79) IM19399-Get Worker's Comp insurer from Pat Reg.

80) IM19449-Correction when checking for Policy Holder on page 2.

81) IM19492-27+15^ABMERGR2.

82) IM19628-User gets stuck in accident hour.

83) IM19585-Claims being approved with only complete insurer.

84) IM19595-Dental claims printing incorrect fee amounts.

85) IM19622-Fix to secondary when replacement insurer.

86) IM19664-Correction to 837 to put patient and subscriber DOB,

not just subscriber.

87) IM19691-1500B printing incorrect data.

88) IM19707-Correction for ITEM+6^ABMDESM1.

89) IM19820-E2+27^ABMDEMLE.

90) IM19825-Look for Printable Name for NM1*87; then for Fac.

to recieve payment.

91) IM19040-Allow deletion of insurer on page 2 of claim editor.

b) New functionality that includes:

1) Ordering Provider fields populated on 837P for DME services.

2) New Visit Type for Immunization with warning message on

page 0 if one of these are on claim (90656, 90732, 90746,

90747, G0008, G0009, G0010)

Patch #9 Files:

a) abm_0250.09k kids distribution file

b) abm_0250.09n notes file (this file)

3. REQUIREMENTS

a) VA Kernel V 8.0 or later

b) VA FileMan V 22.0 or later

c) Third Party Billing V2.5

d) AUT version 98.1 patch 17 or later

e) AUM version 6.1 patch 4 or later

4. INSTALLATION INSTRUCTIONS

In all UCI's running IHS Third Party Billing:

a) Disable ABMMENU and BARMENU.

b) This is a KIDS distribution. Use the Installation options on the

KIDS menu:

1) Load the distribution into KIDS using option 1 on the KIDS

Installation menu. The distribution was released in a file

named abm_0250.09k

2) Verify the load using option 2 on the KIDS Installation Menu

3) Consider using the options 3 and 4 on the KIDS Installation

Menu to print and compare the transport.

4) Install the distribution using option 6 on the KIDS

Installation Menu.

5) For results, use the KIDS "Install File Print" option to

view/print the "ABM*2.5*9" entry.

c) Enable ABMMENU and BARMENU.

5. POINT OF CONTACT

Division of Information Resources Software Support Desk

Phone: (505) 248-4371 (888) 830-7280

Fax: (505) 248-4199

Web: http:\\rpms.TechSupp.asp

Email: ITSCHelp@mail.

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