Valant Software is 5010 Compliant!

Posted by Shalonne on 14 December 2011

We are proud to announce that Valant software is 5010 compliant and ahead of schedule!

In order for your practice to be 5010 compliant, we’ll automatically update your software. We have made the changes on our end and you will receive notification when the update has occurred.  Because there are some new requirements for 5010 compliant EDI submissions, we have compiled a list of changes in the software for your reference. 

Below is a list of the changes and what you can expect:

• The Billing Provider and Practice addresses cannot be a PO Box, it has to be a physical location.   If a PO Box has been used for any of these addresses in the past, the address will need to be updated with a physical address.  If the address in the Billing Provider Address Field is changing, we recommend contacting your payers about updating your enrollment information.  Many payers use the address in the provider files to validate the physician so claims may pend or reject if there is a different address on the claim.

• The 5010 EDI updates allow the transmission of 3 different addresses for providers and practices.  They are the practice location address, the billing provider address, and the pay-to address.  PO Box addresses for payments and EOBs are allowed to be entered in the “Pay-To” address.  Valant EMR has added a new tab on the Practice Screen for a “Pay-to Address” to be added for the practice.  This is where the PO Box for payments can be listed. 

New "Pay-To" Tab

• Zip Codes must include the “+four” ending.  Valant EMR has added a pop up message box that will remind users a zip plus 4 must be entered for the practice, provider, and all facility addresses.

Zip Code Warning Message

• Insurance ID numbers with a suffix must have the suffix entered as part of the patient’s insurance ID number, without any spaces, dashes, or characters.