Frequently Asked Questions
Q: Will my Henry Schein practice management software be 5010 compatible by 2012?
A: Yes. Unless you’ve received a communication from Henry Schein indicating otherwise,
your claims are 5010 compliant. You will be informed of any required upgrades as
they become necessary.
Q: When will HSPS begin testing 5010 compliance?
A: Testing has already begun between Henry Schein’s eClaims software and its clearinghouse
connections.
Q: What aspects of my Henry Schein practice management software will be impacted
by the 5010 changes
A: Electronic claim submission and insurance eligibility reporting will be impacted.
Customers using the latest versions of Henry Schein practice management software
and Henry Schein’s eClaims software will be able to submit claims using the most
streamlined and efficient method possible. Customers that are NOT using the latest
versions of Henry Schein practice management software will still be able to submit
claims that are 5010 compliant, but may need to perform extra steps to submit claims.
Submitting electronic claims through Henry Schein practice management software will
continue to be the most efficient method of submitting claims.
Q: What is the difference in the claim submission process between the latest
versions of Henry Schein practice management software and older versions
A: Customers using the latest versions of Henry Schein practice management software,
as provided in a customer service plan, will benefit from updates to the core software
that minimize the impact of the changes. Additional fields for newly required information
will be added to the core software and extracted automatically in the claim submission
process. Customers using older versions may be required to complete the new fields
manually prior to each claim submission. Customers using third-party claim submission
software will be required to perform additional steps.
Q: Where can I learn more about 5010 and ICD-10?
A: Visit the U.S. Department of Health and Human Services’ website at:
www.cms.gov/ICD10/.
Q: How will I get the updates for 5010?
A: Updates will be provided for Henry Schein practice management software and its
eClaims (eTrans) software. Customers are encouraged to be on the latest version
of their practice management software for the most efficient workflow. Customers
will be notified when it is necessary to perform any upgrades.
Q: When will the updates be available?
A: Upgrades to eTrans will be available in December, but not required in order to
submit 5010 compliant claims. You will be notified when upgrading to the latest
version of eTrans becomes necessary in order to maintain compliance.
Q: What are some of the things I can do today to prepare for the 5010 changes?
A: Providers can take the following steps today to prepare:
- Every provider address must use a nine-digit ZIP code (ZIP+4).
- For electronic claims, the Billing Provider name and Pay-To provider address (that
appears in the Primary Dental Insurance window) will be sent in the claim and is
where payors will send payment. The Rendering Provider name and Billing Provider
address is also sent in the claim and reflects who performed the services and the
location where services were performed.
- The address for the Billing Provider can no longer be a P.O. Box; it must be the
physical address of the provider where services were rendered. However, the address
for the Pay-To Provider can either be a P.O. Box or physical address. The Pay-To
Provider address should reflect where payors need to send payments (which may be
different from the provider's address where services were rendered).
- Legacy IDs (such as Medicaid IDs, BCBS IDs and so forth) may no longer be sent in
electronic claim submissions. Correct NPI numbers are required. Your front-office
staff will need to contact insurance payors to verify that they have the correct
NPI numbers in their provider tables.