Business Actions
Software Download
Provider Electronic Solution (PES) Software
PLEASE REVIEW PRIOR TO SELECTING AN OPTION FOR SOFTWARE DOWNLOAD
Provider Electronic Solutions Software version 3.15 is now available.
- Software version 3.15 includes fixing an error that occurred when using Communication > Resubmission and when Archiving
- Software version 3.14 includes changing the Service Authorization descriptions and updating the Help Section.
- Software version 3.13 includes the addition of Referral Number on the Professional claim form and adding a submission clarification code to the Pharmacy claim form.
- Software version 3.12 includes the addition of Quantity Prescribed on the Pharmacy claim form and updates to the Gainwell logo.
- Software version 3.11 includes the addition of the PWK Segment (Electronic Attachments) to all 837 claim forms and the incentive amount field to the Pharmacy claim form.
Please refer to Appendix C Change Log in the software User Manual for a full list of the changes included in the new Provider Electronic Solution software version.
ICD-10 RELATED NOTES:
- Software version 3.02 and all subsequent software versions will include changes for ICD-10.
- ICD-10 codes should not be submitted until the CMS mandated date of October 1, 2015.
- The ICD version on new Claims and Prior Authorizations will default to blank.
- The Procedure/HCPCS and Diagnosis list are split based on ICD version.
- Users may begin building ICD-10 lists now.
Users must perform an upgrade through each software version to successfully upgrade an older version of a database.
LTC Admission Notification
Documentation
|