A lot of this depends on clearinghouse and PM. Some years ago I started with a PM (EZclaim) and clearinghouse (Office Ally) and claims were not going through. Each blamed the other. Ultimately, I gave up and made another choice.

The point is: Each clearinghouse has specific requirements and each PM has a specific way of meeting this. You need to talk to both. As I recall 5010 is a fairly standard format, but that's from several years ago. Talk to the PM first as to how to generate one of the formats, generate it, then check with the clearinghouse as to whether it works.

Let us know specifics because everyone is always interested in knowing what works and what doesn't. There are a lot of people using a lot of different PM's, some may know the answer already.

Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them