The wait is finally over for the Wave-Translator HCFA to ANSI program! On June 9th, 2010 it will be available for purchase.
It’s as easy as sending an email!
How to get started:
#1– Create a claims file with 10-20 claims. Create a second file with an average sized batch of what you would send in a week out to your Clearinghouse.
#2– Contact Wave-EDI via email: support@wave-edi.com for instructions on how to send a test file.
#3– Once you send your test files over, Wave-EDI will then setup and map your account for you.
#4– The next step is to do Trading Partner testing with your Clearinghouse. Once approved for electronic submission, we proceed to the next step.
#5– Wave-EDI will install the Wave Translator program and train you on how to use it. If you can send an email, you can use the Wave Translator.
The above steps take about a week to Implement.
Please call our Sales Department at (619) 663-7231 between the hours of 9AM -5pm Pacific Standard Time Monday thru Friday.
Wave-EDI now has Live Chat available! Our sales and support staff are available from 9am to 5pm PST Monday thru Friday to answer questions you might have. Please don’t hesitate to talk with us. We look forward to hearing from you!
We also have Chat links on the following pages:
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Wave Translator
Wave-EDI is looking for Resellers. If you sell or develop Healthcare Practice Management Software or have a strong interest in the Wave-Translator this can be a great opportunity for you.
You can contact us for more information either on our contact form or support@wave-edi.com
The PRV segment in ANSI is used to identify the Taxonomy Code specialty of the Provider. You must send the PRV segment in each claim, either in the Billing Provider Loop which is 2000A or in the Rendering Provider Loop which is 2310B.
It is required to have the Taxonomy (PRV segment in the 2000A Billing Provider loop).
The only exception to this rule is if the Rendering and Billing are different
people. If they are different people you would then insert the PRV segment in the 2310B Rendering Provider loop.
If the 2310B Rendering Provider loop is not in the claim, then the PRV segment has to be used in the 2000A Billing Provider loop.
2000A Billing Provider Loop:
PRV*BI segment (“BI” represents BILLING)
2310B Rendering Provider Loop:
PRV*PE segment (“PE” represents PERFORMING)
It has come to the attention of Wave-EDI that an extremely small number of Insurance Companies are requiring that the PRV segment be sent in both the Billing and Rendering loops. This is against the ANSI 837p standard and we hope that this number does not increase.
Link for a list of Taxonomy Codes:
http://www.healthlink.com/tech_tip_taxonomy_code.asp
Billing electronically can be frustrating at times. Here are some common error rejections:
-Missing or invalid CPT codes
-Patient date of birth missing
-Invalid Rendering NPI number
-Patient not Eligible
-Invalid Diagnosis Code
