We are starting to do in house billing due to some bad outcomes from outsourcing our claims. We are having problems with our clearing house recognizing our claims. It needs to be in a 4010 or 5010 format and we can not figure out how to send them that way. Does anyone know how this can be done? Any help will be appreciated. We are getting desperate. Tech guys that we have talked to have not been able to tell us what to do. Thanks in advance.