Home Forums Discussions Coding and Billing How to submit claims to a clearing house

I do not think AC creates a 5010 directly.

I believe you will need a Practice Management (PM) Program to do this. There are many out there, go to the admin section and interfaces then practice management to see your options.

Several issues you should look at.
One is whether you signed a contract with Availity as clearinghouse. Can you change if the PM requires another, or are you locked in for a year or such? Are you set up with them for the various contracts (filled out paperwork to make them your registered clearinghouse) If you have filled out the paperwork, you might consider a solution that continues to use them (see below)

Which programs connect with Availity (probably most, it's a big clearinghouse.) Another question is whether it may be easier to go with Availity's own PM.

What's the lag time to set up any PM you might choose. AC and MedFx take some time (weeks to months) to implement. Some of this time is the clearinghouse setup (they require their own specific clearinghouse, you would have to change.) Any program requiring a change in clearinghouse is likely to have some delay. This is where sticking with Availity if you have filled out the paperwork might be easier.

Will the PM you are looking at require double entry or can it take information directly from AC (most that are in the interface section should not require double entry). Does the program give you what you are looking for regarding reports.