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Implemenation Guides

ASC X12N-837 5010 Companion Implementation Guide

This document is to be used as a companion document to the Health Insurance Portability and Accountability Act (HIPAA) Implementation Guides. It is designed for implementation of the HIPAA Transaction for Institutional and Professional Claims/Encounters: Health Care Claims: 837 ASC X12N 837 v5010A1 – DOWNLOAD (241 KB file)

Connect2Infinedi Installation Guide for Windows

Step-by-step instructions for setting up Connect2Infinedi software on Microsoft Windows Operating Systems . – DOWNLOAD (000 KB file)

Connect2Infinedi v.5.2.1 Transmission Software Download

Transmission software that allows your office to send insurance claims electronically over the phone lines using a modem or over the internet using a Secure FTP transfer. This software is usable by Infinedi clients only. Net: You will be given a username and password after the enrollment process is complete. – DOWNLOAD (237 KB file)

Mac Users Support Guide

This guide gives Mac users tips for sending claims from a Apple Computer. Desktop users can overcome this hurdle by installing Windows Emulation Software. – DOWNLOAD (204 KB file)

Mac User Compatible Guide

SFTP file upload instructions. – DOWNLOAD (343 KB file)

ALERT: New Medicare Card Instructions - 08/07/2018

Instructions on how to read the new Medicare Cards and Medicare Beneficiary Identifier (MBI) format. – DOWNLOAD (181 KB file)

Website Portal Icon Legend

An explanation of the icons used throughout the Infinedi web portal. – DOWNLOAD (922 KB file)

Customer Service

NetCorrect ANSI Editor: CMS-1500 - Professional Crosswalk to ANSI 5010 Guide

NetCorrect ANSI Editor: CMS-1500 Professional Claims CROSSWALK to ANSI 5010. Updated: 02/2012. – DOWNLOAD (317 KB file)

5010 Upcode Gap Analysis and Requirements

Requirements to upcode 4010 to 5010. An explanation of the major and minor specification changes in ASC X12 5010. – DOWNLOAD (219 KB file)

Infinedi Analytics Quick Start Guide

A quick guide to help providers understand claim analytics dashboard. – DOWNLOAD (1.1 MB file)

ANSI Secondary Companion Guide

An explanation of the requirements for sending secondary claims in ANSI format. – DOWNLOAD (281 KB file)

Autopay Authorization Form

Download and fill out this form to authorize Infinedi to place charges on your company credit card. – DOWNLOAD (156 KB file)

Account Cancellation Request Form

Please complete one cancellation form for each account to be canceled. Requesting for account cancellation. – DOWNLOAD (141 KB file)

Change Account Information Request Form

Download and fill out this form to provide a change of information to Infinedi. – DOWNLOAD (150 KB file)

Claim Correction Reference Guide

Information regarding online claim correction and editing. – DOWNLOAD (484 KB file)

Claims Editor Tool v2

An overview of Claims Editor Tool. Includes terminology, populated box identity, claim errors and the add info wizard. – DOWNLOAD (409 KB file)

Online Editor 2.0: Secondary Claims Overview

Infinedi has created an exclusive feature for our clientele to convert a primary claim to a secondary claim in our online editor 2.0. – DOWNLOAD (428 KB file)

Scenario 1: Create Secondary Claim in Editor v2 - (Medicare primary and commercial secondary)

The patient’s primary insurance is Medicare and commercial is secondary, through the spouse. The primary payment(s) and adjustment(s) itemization is posted to each service line(s). – DOWNLOAD (1.1 MB file)

Scenario 2: Create Secondary Claim in Editor v2 - (Patient has two policies, commercial primary and Medicare secondary)

The patient has two policies, commercial is primary, Medicare is secondary, and primary payments are itemized on the service lines. – DOWNLOAD (928 KB file)

Scenario 3: Create Secondary Claim in Editor v2 - (Medicare primary and commercial secondary)

Medicare is primary, commercial is secondary through the spouse, and primary payments are posted on the claim level. – DOWNLOAD (1.0 MB file)

Scenario 4: Create Secondary Claim in Editor v2 - (Blue Cross primary and commercial secondary)

The patient’s primary insurance is Blue Cross and Cigna is secondary, through the spouse. The primary payment(s) and adjustment(s) itemization is posted to each service line(s). – DOWNLOAD (1.1 MB file)

ALERT: Error Claim Can't Contain Multiple Years of Service - 11/01/2017

Infinedi’s processing system edits HCPCS/CPT and ICD-9-CM codes based on service date. Claims with more than one year of service will not pass through Infinedi’s edits, resulting in rejection of your claim. Updated 11/01/2017. – DOWNLOAD (29 KB file)

Glossary of Terms and Definitions

A glossary of commonly used terms when dealing with claim payment topics. – DOWNLOAD (356 KB file)

ALERT: Kentucky Medicaid Rejections State License - 05/24/2016

Commonwealth of Kentucky has informed Infinedi that Kentucky Medicaid requires revalidation by providers every five (5) years. Medical providers will receive a notification letter with instructions for revalidating 30 and 60 days before their revalidation deadline. Updated: 05/24/2016 – DOWNLOAD (30 KB file)

User Authorization/Multiple User Form

This form is used to add, delete or change individual user access for Q-Services. – DOWNLOAD (159 KB file)

ALERT: Oklahoma Blue Cross Blue Shield NDC Numbers - 04/1/2014

As of Dec 1, 2013, OKBC began requiring the use of National Drug Codes (NDC’s) and related information. NDC information not present on claims will result in the following EOB/ERA claim denial. Updated: 04/1/2014 – DOWNLOAD (30 KB file)

Provider Information Sheet

Account set up for adding, changing, or deleting as group/practices or individual providers. – DOWNLOAD (86 KB file)

ALERT: Revised United Services Automobile Association (USAA) Claims Instructions - 03/10/2009

Claims for the United Services Automobile Association (USAA) and USAA Property and Casualty are filed electronically to Payer ID 74095. (USAA Life claims are excluded for this Payer ID) Updated: 03/10/2009 – DOWNLOAD (36 KB file)

ALERT: State Farm Payer Special Requirements for Electronic Claims - 03/10/2011

State Farm claims can be submitted electronically using Payer ID UHN39. Updated: 03/10/2011 – DOWNLOAD (10 KB file)

ALERT: Reminder for Submitting a “Voided” or “Replacement” Claim Electronically - 11/11/2015

Submitting a voided or replacement claims electronically for Medicare Payers. Updated: 11/11/2015 – DOWNLOAD (47 KB file)

System Information Form

Submit information to Infinedi about your Practice Management System and Operating System. – DOWNLOAD (154 KB file)

Tricare/VAPCCC Routing Guide

Includes Payer, Payer ID, States and Enrollment Requirements. – DOWNLOAD (136 KB file)

Worker's Comp, Auto & Personal Injury Claims Instructions

Instructions to download the fax cover sheet for Worker’s comp, Auto and Personal injury claims. – DOWNLOAD (768 KB file)

Practice Management Software Instructions

CHIRO 7000 Instructions

Step-by-step instructions on how to create a “print image” file for CHIRO 7000 or HEALTH PRO 7000. – DOWNLOAD (91 KB file)

DC Easy Instructions

Step-by-step instructions on how to create a “print image” claim file. – DOWNLOAD (14 KB file)

Eclipse 2008 Print Image Format Instructions

Step-by-step instructions on how to prepare eclipse to file electronically with Infinedi. – DOWNLOAD (19 KB file)

EZ-BIS for Windows Instructions

Set-up and configure EX-BIS for Windows to file electronic claims to Infinedi. – DOWNLOAD (16 KB file)

Inphase Set-up Instructions

Set-up InPhase to send claims to Infinedi. – DOWNLOAD (19 KB file)

Lytec Installation Instructions

Step-by-step instructions on how to create a claims folder and Lytec installations interactions. – DOWNLOAD (21 KB file)

Medisoft Statements Instructions

Step-by-step installation instructions on how to print Patient Statements from Medisoft. – DOWNLOAD (22 KB file)

Medisoft Windows (version 7.0 or greater)

Step-by-step instructions for creating a “print image” file for Medisoft Windows version 7.0 or greater. – DOWNLOAD (23 KB file)

Micro4 Practice Studio Instructions

Step-by-step instructions on how to create a claims folder and a “print image” file in Micro4. – DOWNLOAD (21 KB file)

PinnSOFT Instructions

Step-by-step instructions on how to create a “print image” file in PinnSOFT that can be used to file insurance claims electronically. – DOWNLOAD (14 KB file)