IMPORTANT: We are in the process of upgrading all 2.x installations to version 3.x, which is a major upgrade. Please contact us at 602-439-2525 or by email to support@solace-emc.com for your upgrade.
2.3.24 - 9/27/07
Implemented new password change behavior for Arkansas Medicare region by disconnecting and reconnecting in same transmit session
2.3.23 - 7/30/07
Fix for Blue Cross California receiver settings and transmit script
Added OK Medicaid web transmit script
Trailblazer ID qualifier change
Zip code updates
Arkansas region H99 files being detect as binary due to ASCII NUL's in text files
2.3.22 - 4/30/07
Added Premera web transmit script - support for Connectiva
Medicare settings change to send SSN in violation of the 837 IG
Added South Dakota Medicaid receiver and payer settings
Added Michigan Medicaid web transmit script
Fix for Availity transmit script
Fix for BCBS Rhode Island web transmit script
Fix to send Tax ID in loop 2310B when NPI is being used
Fixed 837P importer to work with invalid REF segment formatting
2.3.21 - 4/10/07
Updated Ohio Medicaid transmit script
Added support for importing 837Ps containing multiple ISAs in the same file
Fixed problem with accident date and similar illness dates not being imported from 837P files
Fixed problem with importing facility info and referring UPIN into both UPIN and PIN fields on 837P imports
2.3.20 - 4/2/07
Availity receiver and payer list added (new THIN platform)
Updated CIMOR connection based on 2/9/07 companion guide.
Added Pennsylvania Medicaid web script.
Added Harvard Pilgrim transmission settings.
Zip code database freshened to 2007 data.
Added support for sending SSNs to Medicare with NPI, contrary to IG specifications.
Added support for sending extra payer IDs.
Added First Priority Health direct connect via FTP/PGP.
Fix for serial port compatibility on Windows Vista.
Fix for not checking minimum service charge on UB92 imports.
2.3.19 - 1/31/07
CIMOR connection added for Missouri Department of Mental Health
Added payer IDs to THIN payer list for Continental General, Providence Health Plan (PPO), APIPA, and APS Healthcare
Added payer IDs to Trailblazer payer list for Colorado and New Mexico Medicare A
US 2007 Time Zone data update
Disabled Care Plan Oversight edits temporarily due to MLN Matters MM4374
Fix for discharge hour not being sent in some cases on UB92 claims
Updated EMOMED web portal transmit script for site changes
Fixed an ACS Medicaid transmit script bug that was causing it not to enter all file areas
2.3.18 - 12/31/06
Fix for sending rendering provider data at line level instead of claim level when box 24K is present and box 31 is blank
Added BCBS Arizona web transmit script for upcoming BBS obsolesence
2.3.17 - 12/13/06
Added Medicare A - Nebraska (Mutual of Omaha) direct connect
Added Harvard Pilgrim direct connect
Added Paramount Health Care direct connect
Added BCBS Michigan direct connect
Added Michigan Medicaid receiver
Addition to AR Medicare transmit script to ignore .mrp files which are duplicate 835s
Connecticut Medicare B added to Florida Medicare receiver
Modified HMSA transmit script to download new CRPT report and 835s
Fix for edit requiring UPINs and not just PINs for secondary providers on Medicare claims
Renamed Medicare B - Florida receiver to First Coast Service Options for consistency
UBF importer now combines remarks from records 90 and 91
Name parser changes for last names of 'DO' and 'MA'
Changed behavior for loop 2310B to send SSNs of Group Providers
Added option to unwrap inbound reports with no line breaks based on a pattern (regular expression)
Added BCBS Oklahoma (ID 00840) to THIN payer list
2.3.16 - 12/1/06
Noridian Payer ID changes
BCBS AZ outbound files now send ID qualifier 24 (EIN) for all provider NM1 segments
Change to print referring PIN in box 17a if referring UPIN blank and a PIN is present
Added MD Medicaid web script
2.3.14 - 9/26/06
Updated to 2007 ICD-9 codes
Added THIN payer IDs, especially for new Georgia Medicaid plans
Approved for institutional claims to TriCare South (Palmetto)
BCBS Arizona and BCBS Oklahoma transmit scripts updated
Fixed bug with total charges going to zero in File Manager, introduced in 2.3.14
Changed Cigna DMERC payer ID 05655 to Noridian DME MAC payer ID 19003
Added New Jersey Medicaid web transmit script to desktop edition
2.3.14 - 9/26/06
Added support for 'MA' as a last name
Updated BCBS AZ, OH Medicaid, and Palmetto GBA transmit scripts
Blue Cross California and Mutual of Omaha transmit scripts added
Performance improvement while editing large batches of claims
2.3.13 - 8/15/06
Refined EPSDT edit checks
Added Medicare UB92 edits for RUGS scores Medicare requirements for at least one occurrence code and one value code on some bill types
Box 9A warnings have relaxed a bit
Updated Anthem and Medi-Cal BBS transmit scripts
2.3.12 - 8/15/06
New EPSDT edit checks and fields, see Diagnosis tab of Claim Editor
EMOMED, MD Medicaid, MassHealth, and OH Medicaid web script updates to prevent failed uploads and due to web site changes
Noridian transmit script updated to recognize Noridian Systems Unavailable message AFTER a successful upload
Added field for Claim Delay Reason Code in 837P
Changed setting to send state license numbers on Noridian claims to accommodate UHC crossover claims
Change for BCBS IL claims via THIN to send state license number
2.3.11 - 7/12/06
Added hospice employee indicator field for Medicare Hospice claims
Added procedure A4353 as valid for future dates of service
Added THIN payer IDs for Parkland Kids First 66917, Amerikids 26375, Cooks Children's Health Plan CCHP1, Superior CHIPs Plan SHP11, and Texas Children's CHIPs 76048
Fixed problem with Noridian PIN warnings showing after PIN had already been corrected
Updated transmit scripts for NHIC, Anthem BBS, and Palmetto
2.3.10 - 6/29/06
NHIC transmit script updated
New password policy added for ASF effective 6/25/06
Support for modifiers 2 and 3 in UB92 v5 and v6 importers in FL49 field of RT60 and RT61 when real modifier 2 field is 99
Added Medicare OH/WV remits-only receiver and transmit script
Added IA BCBS and NE Medicare A receivers
Payer 26374 for THIN changed to send Medicare PIN with commercial payer type
2.3.9 - 6/14/06
Relaxed future date warnings for diabetic supply codes
Added a few THIN payer IDs
2.3.8 - 5/25/06
Fixed errors in new ERA exporter when service provider data is sent back by the payer
Fixed Java 1.5 compatibility issues with SSL-FTP
Fixed problem deblocking X12 remittances from a couple of receivers
New Noridian receiver and payer IDs and automated way to switch
Added payer 03432 for APIPA and 36436 for Destiny Health Plans via THIN
Added FirstCoast Connecticut Medicare support
Updated OH/WV Medicare and MediCal BBS transmit scripts
Fixed overriding to incorrect PIN when multiple PINs for same payer existed, in box 24k
Option to send 'Other Payer' billing provider PINs at a receiver/payer level
Added NPI support - can be enabled per-mailbox or by Ivertex
Fixed problem with not sending NM1*82 REF segment when 24k was blank but 33a and 33b were filled
Alabama Medicaid and EMOMED web script fixes
2.3.7 - 4/11/06
Improved recoded units/procedures display on EOB report
Fixed box 33 name display issue (cosmetic only)
Removed OTH000 warning after Medicare rescinded their change to osbolete it 4/1/06
Changes for MediCal transmit script
Added support for inbound-only mailboxes
2.3.6 - 3/20/06
Box 32 will no longer auto-fill when it is just blank, only when it says SAME. Medicare glitch from 2004 with this data being required should be long-gone.
Added ability to print HCFA-1500 and UB92 forms on plain paper
Turned off THIN taxonomy required warning due to customer requests
Improved payer list Access column accuracy when payer is valid for multiple clearinghouses and one or more direct connects
Added THIN payer ID for Mercy Health / Mercy Care Plan in Arizona
2.3.5 - 3/7/06
Changed THIN payer list to require UPINs if physician names present, previously defaulted to not requiring UPINs
Added automatic provider resolutions by state license number to match enterprise edition behavior
Changed BCBS MS State of MS PIN edit to allow for optional character at end
Added option to send 1A qualifier for Institutional claims to Blue Shield plan types - for BCBS-MS and THIN
Added Alabama Medicaid web transmit script
Fixed Claim Listing reports to print on Letter and not A4 paper by default
2.3.4 - 3/1/06
Added E Missouri Medicaid (EMOMED) web transmit script
Fixed problem with saving to a PDF on some reports, touched up several reports
Fixed error preventing printing of a remit with any 100% paid claims in it
2.3.3 - 2/16/06
UB92 v5 support
Added low severity warning that UPIN OTH000 is being phased out by Medicare on 4/1/06, for Medicare claims using this UPIN
EOB report ICN length extended to support 17 digits
Added Mailbox property for custom service line control numbers for California ADP/ITWS
Removed ASK logic to force person to non-person if submitting EIN, no longer required and causing problems now
Additions for problematic name parsing, call support for details if you have any name issues
Added Empire Medicare IVANS/e-Link web transmit script
Added edit checks for Ohio Medicaid and occurrence span code without dates
2.3.2 - 1/31/06
OMAP production naming fixed
Medicare requirements for CPO claims vary, made adjustments for Noridian's stricter requirements
ZModem download fix for ACS Medicaid
Updated THIN, BCBS AZ, and FirstCoast transmit script
Set THIN payer ID MHHNP to always send rendering provider with location number
2.3.1 - 1/16/06
Updated Arkansas Medicare region Medigap/Inkey list
Added logic to reformat BCBS MA inbound reports
Made service line rendering provider only send in 837P with extra name/PINs if there is only one match in SolAce provider list
2.3.0 - 1/5/06
Added web site scripting support with scripts included in this release for Partnership HP of California, New York Medicaid eMedNY eXchange, and Ohio Medicaid web portals.
Changed provider editor to not strip ampersand, dash, period, and comma characters - left up to Receiver character set setting instead.
2.2.49 - 12/21/05
Fixed problem with secondary payer ID sending primary payer ID
Added a 3rd ERA export option to export an 835 remittance to a CSV file using what is reported to be a payment import format supported by AltaPoint&tm;. Use the Export button on Remittance Viewer to try this option. It exports patient account number, service date, billed procedure, paid amount, total adjustments, and check number. There is no support for provider-level adjustments in this export format, nor are adjustments detailed as there is no column for the adjustment reason codes. Still, it appears to be a useful export for its simplicity, and we hope someone does find it useful.
Changed Arkansas Medicare region phone numbers for January roll-over
2.2.48 - 12/12/05
Added support for EDI file viewing of 824 and 999 transactions
ZModem fix for BCBS Tennessee
Payer ID change for Mail Handlers via MCSI
BCBS AZ script change to speed up download menu processing
Changed OMAP receiver settings to not split composite EDI files
Removed EDI-HC custom UBF record 46 from sending for Medicare Part A claims
2.2.47 - 12/5/05
Added FTP support for BCBS Massachusetts.
Fixed 837I non-covered charges to not send in 837I transactions when zero.
Fixed problem with box 8 of HCFA-1500 form not clearing out when adding new claims.
Fixed name parsing issues with three names in first name first format and having no punctuation or double space after middle initial.
Fixed problem introduced in 2.2.46 with rendering physician from service line 2 not being sent.
Changed BCBS AZ and EDI-HC clearinghouse default mailbox weights to be negative (-1 and -2 respectively) to avoid these receivers having preference over a direct connect mailbox.
Added N5 qualifier override for
rendering PINs to payer MHHNP.
Added support for pay-to providers via the Setup/Providers screen.
Decided to cancel 277 integration into desktop edition as it requires too many enterprise features and would require too much retesting.
Added Receiver option to control auto-unbundling of composite EDI & non-EDI content present in a single file, disabled for OMAP
2.2.46 - 11/22/05
Added ISA02 authorization ID overrideable from Mailbox settings
Added HHA CPO Provider ID field
NY Upstate and HGSA Medicare transmit script updated
835 processing fix for Noridian ERAs that would split into multiple files
HIPPS code qualifier changed for 837I SV2 segment
2.2.45 - 11/09/05
Facility auto-blank logic for Medical Mutual of Ohio via THIN
Fixed tilde payer ID bug in 2.2.44 that caused extra numbers to be sent on end of payer ID
Import routines now default the batch label to the import filename when the label is left blank
Claim Editor now shows the batch label at the top of the screen
835 Export now prefixes the export filename with the payer ID by default
2.2.44 - 11/02/05
UBF record 60 days to Service To date conversion for Idaho Medicaid
Print Preview default zoom changed from 150 to 125
837I fix for non-covered charges on inpatient claims
Fix for patient editor's provider tab search buttons locking up the editor
2.2.43 - 10/27/05
CQuest send/receive fixes if security keys are regenerated.
FPRINT fix for THIN for real this time.
Fix for mailboxing issue with THIN, MCSI, and BCBS AZ mailboxes co-existing.
Provider name/PIN handling change, favors whatever is on the claim and only supplements from Provider/Address list when the claim is missing data.
2.2.42 - 10/20/05
Changed Arkansas Medicare region phone numbers back to the old ones. The new one they asked everyone to use is having constant problems.
Added 2006 ICD-9-CM codes
2.2.41 - 10/15/05
Added APIPA to EDI Healthcare payer list
THIN paper claims "FPRINT" ID fix
Changed for Medi-Cal Insured ID edit to support 9-digit IDs
Revised BCBS AZ transmit script
Revised NY Update transmit script
2.2.40 - 9/29/05
Added Demonstration Project ID field
ZModem fixes for BCBS OK, BCBS MS, & ACS Medicaids
Fix for importing NSF continuous line files
Removed Insured ID edits for BCBS MS, BCBS NC, BCBS RI, & Anthem CO/NV
Changed 835 parser to allow non-standard REF*ZZ on 835s from Ohio Medicaid
Updated adjustment reason and remark codes and fixed EOB report to show reason code descriptions
Updated NHIC Medicare transmit script
Added Anthem BBS transmit script as alternative to dial-up FTP
Marked BCBS Illinois to warn if missing UPINs
Fixed problem with primary payer paid amount not importing from print files
Changed Palmetto ISA07 qualifier back to 27 after a brief time of having it set to 28
Added support for sending REF*LU from provider list for Cimarron plans via THIN
2.2.39 - 9/20/05
Added "TRUE BLUE" as EDI payer name for BC Idaho via THIN
Fixed signature code bug in NSF importer in desktop edition, and added support to importer for NSF files with longer than 320 byte records
Fixed problem importing blocked 835 remits from THIN
2.2.38 - 9/12/05
Added Insured Address fields for UB92 claims as EDI Healthcare is requiring this data for some payers now.
Updated reporting engine to latest version and changed print preview screen to default the zoom to a readable level.
Moved Insured fields for 1500 claims to the claim editor's Payers tab so it is more apparent what information is sent for which payer.
Fixed paper print feature to format box 14 correctly.
Changed ERA processing to record the number of claims for display on File Manager's list. Previously it showed the number of services. Also includes the check number in the label now.
Fixed problem with displaying EOB format of ERAs that contained provider-level adjustments only. Hold down Ctrl key when clicking the EOB Report button on previously viewed EOBs if you experienced this problem. Ctrl+EOB Report button tells the EOB image to regenerate.
Fixed problem with payments at 100% not showing on EOB report. Yes, someone actually gets paid at 100%, wow!
Fixed problem with text reports being marked as EDI files when they started with the letters ISA and had 16 space-separated elements of text on the first line.
Added support for Anthem's BBS due to continuous issues with Anthem's dial-up FTP option.
Added logic to calculate patient responsibility for the EOB report when Part B of A institutional remittances omitted the CLP05 element.
Changed the default patient/insured signature code to "B" when the word "Signature" or "On File" is found in a signature field. Previous default was "S" for patient and "M" for insured, but it seems everyone wants a "B" or "C" these days.
Fixed problem with other insured signature code not being sent properly for secondary payer claims.
Numerous fixes for secondary claims, including for importing NSF and UBF formats, in generation of 837I's, and on reports and displays that showed the destination payer incorrectly.
2.2.37 - 9/1/05
Changed Pima Health Systems receiver settings to use Pima's Internet SSL-FTP system.
Added an SSL-FTP option for Implicit SSL/TLS.
Added UB92 service To date for Idaho Medicaid claims.
Changed Amerihealth Administrators payer ID from 23252 to 54763 for THIN.
Transmit script updates for ACS, BCBS Georgia and Arizona, TriSpan, and Idaho Medicaid.
Removed drug description edit for procedure code 67820, only triggers on J3490ZI now as no supporting documentation could be found to keep it for code 67820.
2.2.36 - 8/15/05
Added auto-hold payer feature and option to suppress payer address block on HCFA-1500 prints, via Setup/Payers screens
Fixed problem with box 33 on HCFA-1500 prints not matching what was on the screen
Added option to not dial the area code for local modem connections
Changed THIN payer ID for Magellan from MBH11 to 01260
Changed Noridian receivers to use a new password change policy
Fixed batch totals to update when deleting claims
Fixed bug in patient editor with referral date picker locking up the screen
2.2.35 - 8/4/05
Added Nebraska Medicaid, Indiana Medicaid, Medicare A for Maine/Masschusetts, Humana, Blue Cross of Idaho, and BCBS Massachusetts receivers.
Updated BCBS Arizona, Idaho Medicaid, NHIC, and Louisiana Medicaid transmit scripts.
Added CH003 payer ID for TriWest to EDI Healthcare (MCSI) payer list.
Edit for UB92 patient relation missing or invalid.
Edit for Referring Physician when billing Medicare for services 92135, 92020, or 76514.
2.2.34 - 7/20/05
Fixed problem with rendering PINs being overridden in box 33, a bug introduced in 2.2.32.
Added some zip codes.
Fixed problem with claims not staying in Hold Manual status.
Added AdminaStar Federal Medicare A payer IDs and new Receiver ASF to consolidate AdminaStar plans.
Added payer ID 00621~2 for Illinois Medicaid via the THIN clearinghouse.
Relaxed PIN/UPIN edits for Alaska Medicaid.
Changed ACS receivers to use old ZModem driver due to sporadic failures on the faster, newer driver.
Added destination payer ID as a column to the Batch Editor screen.
2.2.33 - 7/12/05
Fixed problem with patient relationship field not copying or defaulting, a problem since 2.2.29.
NY Upstate and WPS Medicare transmit script fixes.
Added check at outbound generation time to make sure control numbers are not duplicated.
Extended timeouts for BCBS Arizona transmit script (again).
2.2.32 - 7/6/05
Changed box 33 behavior back to the original way of showing PIN overrides while editing claims.
Fixed ZModem download issue for BCBS Oklahoma.
2.2.31 - 6/24/05
Fixed EOB report to show Allowed amounts properly. This column had been broken for a few months.
Fixed problem in new mailbox weighting scheme with claims being seen as paper.
Male/female indicators now allow M or F instead of just Y, N, or X's.
2.2.30 - 6/21/05
Certified for use on Java 1.5.
Fix for emergency indicator checkbox on 1500 tab.
Migrated several reports to a new reporting engine to fix reports not showing on screen for some customers.
Regence CPT 01996 edit to auto-convert type of service to 09.
Edit check to require prior auth or referral numbers for New York Medicaid.
THIN Receiver options changed to require taxonomy codes to resolve THIN warnings BAG/BAH.
Eliminated auto-clear box 11 logic so NONE will just stay in the field, was needed for paper claims and edit check consistency.
Turned off validation for type of service codes since they vary from region to region.
Fix for service line level rendering physician names not sending when box 31 is filled.
Added Weight field to mailboxes for customers using multiple clearinghouse mailboxes to favor one over the other.
Also made a change to allow mailbox selection without regard to billing providers marked on the mailbox if none are marked (assumes all are valid). If any mailbox has providers marked however, it will be favored regardless of the weight setting.
Added payer ID 61101 for Humana and 13162 for 1199 National Benefit to THIN payer list.
Fixed name parsing issues with suffixes following last name in "LAST III FIRST M" formats with no punctuation.
2.2.29 - 5/6/05
Increased timeouts in BCBS Arizona transmit script to ensure reports are being downloaded.
Changed Medi-Cal insured ID edit to allow 10 or 14-digit IDs.
Combined THIN and Regence payer lists.
Added BCBS Arizona full clearinghouse payer list.
Added logic to preserve name prefixes in first name field for patient and insured names due to Medicare denials when we stripped the prefix.
2.2.28 - 4/21/05
Added new password change policy for CABBS.
Fixed Florida Medicare transmission issues.
Expanded box 24K to hold 13 digits on HCFA-1500 print image feature.
Adjusted NHIC transmit script's timing after sending files.
Changed Medicaid and BCBS payers to default to requiring UPIN or PIN for referring providers.
Added minimize option to warnings pane in Claim Editor.
IMPORTANT: Added a 'Pennies' data type for the mapper. The behavior of the 'Money' data type has changed slightly and there is one case that used to work that will no longer. If you had a number like "8405" the Money data type used to convert it to 84.05. We needed to eliminate this inconsistency between the Money and 'Numeric' data types, so as of version 2.2.28 you must select the new Pennies data
type on the mapping screen (double-click on the charge field) if your print or data files
have no decimal or punctuation in monetary fields. If your print image has a space or
decimal between the dollars and cents then you are not affected.
2.2.27 - 4/1/05
Added name suffix fields on Claim Editor and improved suffix parsing due to Medicare getting stricter on names.
Added Idaho Medicaid receiver and transmit script.
Updated Anthem FTP server addresses.
Updated Blue Shield California phone number.
Added FTP command channel display for FTP transmissions.
Removed 'D' from REF*87 segment for BCBS Rhode Island.
Updated Oregon Medicaid (OMAP) settings for encounters and claims per new companion guide.
Added mailbox file attribute to track remote filename used for FTP and SSH sessions that go to the same inbound and outbound folders.
Added System Option and edit check to auto-clear HCFA-1500 Box 11 for Medicare/Tricare claims.
2.2.26 - 03/01/05
Added logic to default insured name to patient name when it equals "SAME", regardless of relationship
Added NDC in box 19 edit when CPT 67028 or HCPCS J3490 is used on a Medicare B claim
Added Accident Hour field and edit for Arkansas Medicare region
Fixed problem with totals on UB92 print image importer when 001 revenue code is not on line 23
Added record number to Batch Editor screen and made it the default sort order
Added navigation feature to the Batch Editor screen to make it easier to move through batches
Fixed issue with deleting claims being slow
Added assigned indicator to Batch Listing Report
Added edit for prior auth or referral numbers on all Louisiana Medicaid claims
Added UB92 edits for responsible party address, no service lines, and value code without an amount
Adjusted layout of UB92 printable forms and added box 85/86 for signature
Added local dial capabilities.
2.2.25 - 02/17/05
Added Florida Medicare Medigap payer list.
Revised UB92 edits to allow for inpatient ER claims with no ER revenue codes, and for revenue code 255 on inpatient claims.
Relaxed UB92 inpatient/outpatient versus Type of Bill checks to apply only to Medicare claims.
Added line numbers to EDI viewer report for easier matching of rejections to data.
2.2.24 - 02/10/05
Added Insured Gender field for UB92 claims.
Added support for resubmitting correction, replacement, and void claims.
Added support for Tertiary or payer of last resort submissions.
2.2.23 - 02/03/05
Added patient/provider name display on claim editor.
Added new columns to remittance viewer to make it easier to find denials and underpayments.
Added Patient and Address listing reports.
2.2.22 - 01/21/05
Added EMC Filename setting on Mailbox Connection tab for RiverBend GBA plans.
Changed MCSI BBS phone number to 210-684-1490.
Updated Tricare payer IDs (import MCSI-Tricare-updates from Setup/Payers to merge the new IDs into your list). SCWI0 is Tricare West, 38520 is Tricare South, and 57106 is Tricare North.
Added Hill Physicians Medical Group payer ID.
Added Envoy record 46 for UB92 legacy format transmissions (WebMD / Medical Mutual of Ohio requirement).
2.2.21 - 01/11/05
Modification for Mac OS X users so desktop setting files aren't catalogued into the inbox.
ACS Medicaid transmit script update due to ACS bulletin board changes.
Added Noridian Medicare Part A payer ID for Washington.
Updated UGS production BBS phone number due to -6900 number being disconnected.
Fixed problem with UB92 name fields not saving in some situations for direct entry users.
Improved patient sync and auto-fill features for UB92 direct entry users.
Changed NSF importer to read service-line comments and claim-level comments into the same comment fields, rather than putting them all in box 19.
2.2.20 - 12/14/04
Added a new field for referral numbers (separate from prior authorization numbers) to meet ACS Medicaid requirements
Upgraded reporting engine to the same version used in Enterprise Edition which allows customization of the report layouts using a third-party tool
Security permission for "Import Data" now applies to the NSF/UBF/837P importers on the File menu also
Added number of service lines and Test/Production indicator as viewable properties in Message Center. Select the file and click the Properties button to see these items, they only apply to files generated as of this version.
Changed behavior of deleting an ERA to archive it instead
Added Ohio Medicare Part B payer ID
Changed IL Medicaid settings to not require diagnosis codes, and added Indiana Medicaid to the receiver list
Fixed transmission lock-up and blank error message issues in version 2.2.19
Modified "reason for visit" 837I logic to be specific to Trispan Medicare Part A claims.
2.2.19 - 11/29/04
Changed 837I to submit admitting diagnosis as "reason for visit" diagnosis on outpatient claims
Added Anthem West payer IDs for Colorado and Nevada BCBS
Added file naming conventions for Arizona Foundation, Anthem, and MassHealth
Changed FirstHealth settings to submit ASA units instead of minutes for anesthesia services
Fixed bug with patient insurance policy not saving when that was the only change made
Fixed bug with error dialog being blank when importing invalid NSF files
2.2.18 - 11/22/04
Added
support for attachments (PWK segments) for Anthem.
Updated
Cigna Medicare transmit script to download from ERL
menu option.
Fixed
insured date of birth field in Patient tab of Claim
Editor to properly format as a date.
Added
UB92 edit for admission date required on clearinghouse
claims.
Added
Texas Medicare Part A payer ID 00400 to MCSI list.
Fixed
problem with spaces at end of long payer names.
Zero
units now allowed when charge is zero.
Map
button on Claim Editor is now secure from users who
don't have Setup/Maps permission.
Fixed
problem of a non-administrator user not being able to
access the Claim Editor.
Improved
performance of duplicate detection step.
Fixed
download looping issue for BCBS Oklahoma.
Changed
default for MCSI mailboxes Request TA1s setting to be
turned off, they don't like it turned on.
Added
logic to handle FTP downloads from AZ Foundation when
in test mode.
Added
logic to ensure UB92 FL 51 doesnt default to provider's
EIN.
2.2.17 - 11/08/04
Fixed
out of memory problem caused by File Manager attempting
to load all ERAs fully into memory when displaying the
file list.
Fixed
ERA viewer to show insured ID and performing provider,
previously was only looking for Medicare HICs and PINs.
Fixed ERA viewer to show claim-level adjustments, used
by UGS for Part A remits. Hold
down Ctrl while clicking the Report button on the ERA
viewer since SolAce caches the EOB the first time you
view and won't show these changes once it is cached.
Added
logic to default Site Number to Group Practice when
Group Provider Site Number is blank.
Other
Insured Signature code is now being validated.
Allow
Box 24K and 33 to be blank, picks up the Tax ID in Box
25 as a last resort.
Fixed
UB92 print file importer to always strip 001 revenue
codes.
Changed
Message Center to sort by filename when no transmit
date (outbound files sorted oddly compared to others).
2.2.16 - 10/28/04
Added
Illinois Medicaid and Florida Neighborhood Health Plan
receivers
Added
archive print file option on import screen
MCSI
claims for payer ID REG06 (Tricare) need to go to 57106
after November 1, 2004
Updated
Anthem Midwest connectivity settings
Corrected
issues with billing provider display name on UB92 screens
Added
payer ID 9017080 for South Dakota Medicaid via MCSI
Removed
MCSI payer ID 37220, all claims should go to 37222
Changed
837I to not send covered days for inpatient claims
FirstCoast,
BCBS OK, and BCBS NC transmit script fixes
Fixed
Ordering Physician DMERC edit so it is only for Medicare
claims
2.2.15 - 10/13/04
Redesigned
Message Center with search features.
Archiving
a file on File Manager is instant and no longer prompted.
Unarchiving is also available on archived file areas.
Reverted
to old logic of defaulting Billing Provider Tax ID for
Rendering Provider segments where the Tax ID is not
on file. Too many payers rely on these fields having
something filled in regardless of the accuracy.
Added
Illinois Medicaid receiver.
2.2.14 - 10/8/04
Improvements
for data entry users so filling out a claim is as easy
as selecting a payer, patient, and filling in the service
lines:
- the keypad Enter key can be used to move
from field to field
- tabbing off a blank modifier skips
the remaining modifier fields
- Box 13 of the HCFA-1500 is now populated
by the patient insurance 'accept assignment' checkbox,
box 27 is populated by patient's
assignment checkbox, and box 12 by the patient's release
of information checkbox and new signature date field.
If the signature date field is
blank today's date will be used.
Fixed
bug in new name handling routines when a space was not
present after a comma.
Fixed
bug with sending minutes instead of units for CPT 0016T
Estimated Amount Due on UB-92 is now auto-calculated.
Fix
for MediCal to submit NPI instead of Tax ID.
Fixed
bug when no diagnosis was on a claim for payers that
allow that situation.
Code
popups for UB92 fields Admission Source and Patient
Status are now present.
Updated
Kentucky and Maryland Medicaid receiver settings.
Changed
UGS payer names to reflect states instead of service
area numbers. Fixed problem with sending 4010 (non-A1)
batches.
Added
automatic password change to UGS transmit script.
Patient
referring physician is now used to populate attending
physician on UB92 when a patient is auto-filled.
Added
UPIN search on the bottom of UB92 forms.
Added
ability to import 23 service lines on UB92 print images.
New
warning if patient or insured names have anything but
letters, spaces, and dashes in them. Non-person names
allow letters, numbers, spaces or dashes, and all other
characters are automatically stripped without a warning.
BCBS
Georgia Site Number usage settings updated.
2.2.13 - 10/3/04
2005
ICD-9 code update
Added
new chiropractic edit for Medicare CR 3449
Name
handling improved for first/last names with spaces
Added
Claim-Adjudication-Date field for reporting primary
payer's settlement date on secondary claims
2.2.12 - 9/28/04
Reworked
and retested rendering provider and taxonomy logic due
to recent issues.
Changed
837P/I outbound to use the payer ID PAPER if the ID
starts with the word PAPER (drops everything after that
point).
2.2.11 - 9/21/04
HCFA-1500
and UB-92 print image fixes for those printing paper
claims from SolAce (dollar amounts, diagnosis codes,
dates, box 23).
Added
logic to default box 32 (Facility) to the billing provider
due to continually finding payers that reject claims
for box 32 being blank.
Type
of Service is no longer required for commercial claims
to MCSI.
Institutional
(837I) fix for value codes with a zero amount.
Fixed
Site Number usage for Georgia BCBS.
UB92
v6.0 importer now strips procedure codes that are all
zeroes.
Updated
Arizona BCBS and Hawaii BCBS (HMSA) transmit scripts.
2.2.10 - 9/14/04
Fixed
rendering name issue (again) because the 2.2.9 update
was causing problems with BCBS Louisiana and Noridian
(perhaps others) for organization and solo entities.
Changed
ERA processor to handle more than 99 provider adjustment
entries.
Added
Mailbox / Provider Codes feature to allow multiple Noridian
mailboxes to be combined to one BG (Billing Group) mailbox.
Adjusting
the margins of HCFA-1500 and UB-92 printing is now an
option, but has to be handled as a case-by-case support
item.
2.2.9 - 9/9/04
Fixed
rendering name issue that sent the name from the provider
list instead of box 31 when the PIN in box 24k resolved
to the provider list. Box 31 now overrides the provider
list for the rendering provider name in all situations.
Partial
transmit setting total amount to zero on new batches
is fixed.
SSH
files for North Carolina Medicare are packaged in this
update.
Added
setting for submitting encounters instead of charges
on a per-payer ID basis.
Increased
width of account # field on Batch Listing Report.
Fixed
edit check for minimum service charge to apply at a
claim level also.
Fixed
UPIN edit check to obey payer's companion guides for
some lab CPT codes.
2.2.8 - 8/20/04
Transmit
script fixes and new ZModem for BCBS MS/NC/OK, Trispan,
and Medicare B New York Upstate.
2.2.7 - 8/10/04
New
transmit script for Florida/Connecticut Medicare
Added
receiver settings for New York Medicaid
Added
blocked X12 setting for California Blue Cross
Added
a web transmit script (our first) for MCSI as an alternative
to dial-up. For now you have to visit Setup/Receivers
and change the Link Type to Web to utilize this script.
It submits by simulating a web browser on MCSI's web
site. The dial-up script is still the default for everyone.
Added
system option for minimum charge amount to submit a
service line. The default setting is anything less than
1 cent gets stripped from the claim. Change to zero
on Setup/System Options to submit zero dollar service
lines.
Added
type of service codes B, C, and S and changed FHSC Type
of Service setting to allow TOS codes
Fixed
problem with importing the last page of print files
where form length is greater than 66
Fixed
name parsing to allow space-separated last name prefixes
like MC DONALD & O BRIAN in last-name-first formatted
fields
Changed
MCSI's rate for paper claims from .33 to .35 as they
are changing the print-and-mail service price effective
9/1/04
Put
a new ZModem module in place to solve transmission problems
with BCBS NC/OK/MS, and Trispan. The old ZModem is still
the default for most payers, and will be phased out
as we test further. The ZModem module is selectable
via Setup/Receivers.
2.2.6 - 7/19/04
Added
setting to ignore inaccurate MCSI 997 acknowledgment
details
Added
California Blue Cross receiver/payer settings for testing
Added
unobtrusive warning when other payer info is present
but not referencing a payer in the SolAce payer list
Fixed
UB92 edit check that was causing an error on Medicare
Outpatient claims
Fixed
usage of rendering provider PRV segment for taxonomy
codes when the same PIN as billing provider is used
Added
validation of relation to insured codes in 837P
Added
test/prod phone numbers for UGS Medicare Part A
2.2.5 - 7/13/04
Edit
check for UPIN required on X-ray services changed to
Medicare-only
Removed
behavior to copy mammo cert # from box 32 (FACILITY-ID),
users relying on this behavior will have to map the
MAMMO-CERT-NUMBER field instead
Fix
for FHSC Medicaid to extract zipped reports to the inbox
properly
Fix
for generating extra NM1*85 at top of 837P
Fix
for error starting SolAce when provider list is corrupted
2.2.4
MediCal
payer names fixed to leave dash in EDI transmit file
MCSI
transmit script updated for BBS changes
Edit
check for box 32 and place of service 12 disabled for
now, Medicare carriers were interpreting CR 3031 differently
in June 2004
2.2.3
Fix
for MediCal transmit script
Revised
recent facility edit check for Medicare for box 32 to
only warn if lab charges are present
Change
to NSF importer to support empty BA0/YA0 records
Change
for Cigna DMERC to send full address information for
ordering physician
Extended
size of PIN fields on printable 1500 form to accomodate
13-digit PINs
Changed
UGS settings for loop 2010BC (forced to submit MEDICARE)
Added
ordering provider edit check for DMERC claims
Added
edit for box 32 should be blank when POS is 12 (Home)
Removed
service date in statement period edit check and fixed
date qualifier for RUGS billing
Fixed
problem with CLIA number saving in the Patient Editor
screen
2.2.2
Changed
UGS Medicare Part A settings for dummy Tax IDs
A
change in 2.2.0 to support secondary payer claims caused
a behavior change from prior versions due to a new relationship
to insured field for the secondary payer. This update
keeps the new relationship field, but defaults it to
the primary's relationship to insured field. This may
be incorrect for claims with multiple insured's, but
keeps the behavior consistent with prior versions that
had only one field corresponding to the HCFA-1500 form.
Users who want to do secondary claims should print and
map the Other Insured's ID and relationship to insured
code on their HCFA form to submit accurate information
in the 837P transaction. An FAQ should be out shortly
to cover how to do secondary claims in detail.
Changed
setting for NV Medicaid (FHSC) to not require referring
physician UPINs
Added
Provider Site Number field for Pima Health Systems
2.2.1
Added
to MCSI payer list:
- SB840 BCBS Oklahoma
- 25193 Healthspring
Added
Anthem East settings (CT, ME, NH BCBS)
Added
BCBS Georgia settings
2.2.0
It
is no longer required to setup rendering providers in
the provider list if the RENDERING-NAME field (box 31)
is mapped
Added
map setting to force print file import to stop after
X service lines
Added
map setting to support combining of claims spanning
multiple pages
Added
PDF detection and viewing for inbound files
Renamed
Send/Receive side-bar icon to Message Center to prevent
confusion with the Send/Receive button in the top right
of the same screen
Added
special program code, EPSDT and Family Planning indicators
for 837P
Group
ID is now an editable field, and can be a different
group than the Provider ID represents in the provider
list
Turned
off UPIN required flag for Partnership Health
Set
type of service required flag for FHSC 837P claims
Added
UB92 value codes 82, 83, and 85 as valid codes (VA Medicaid
requirement)
Added
Web Check and Setup/Patients as securable screens.
Fix
for exception when clicking Report button in Remittance
Advice viewer
Added
CLIA # to Patient database
Extended
timeouts for Palmetto and NHIC transmit scripts
Fixed
ACS Medicaid transmit script to download the initial
report
Turned
off diagnosis required edit for CQuest America
Added
unassigned place of service codes (CQuest needed 16
for Day Care Centers) up through 30
Added
Pima Health Systems, Community Partnership of Southern
Arizona, AHCCCS, and UGS Medicare Part A Receivers
Added
all Insured fields for other payers to support non-primary
claims
Secondary
payer address information is now always submitted for
clearinghouse claims
The
word SAME in box 4 will now automatically copy the patient's
address
Total
charges is now calculated when Accept is clicked instead
of when Save is clicked
837I
tax IDs can now default to billing provider or use dummy
tax IDs
Added
edit back in for box 9D missing on Medicare crossover
claims
Changed
PIN Override search to take into consideration override
entries being the same as the Tax ID
Changed
File/Import and Setup/Map features to save the current
directory, and improved the prompting sequence to minimize
user setup effort
Slowed
down Zmodem protocol a touch to help with BCBS MS, Trispan,
and BCBS OK transmission problems (still having issues
though)
Changes to SolAce EMC starting with version 2.2.0 will
be listed on this page. In prior versions the changes
were listed whenever you did a Web Check, but that list
was not always accurate for people upgrading across
several revisions. For example, the list of changes
for 2.2.0 is only completely accurate for users upgrading
from 2.1.38. Users upgrading from 2.1.36 to 2.2.0 did
not see the 2.1.36 to 2.1.38 changes via Web Check.
This page will be a continuous history so you can see
everything in one spot.
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