Electroniclaim Tutorial

How to use ElectroniClaim / MediSoft clearinghouse upload procedure
ElectroniClaim Upload Procedure

Upload Procedures for MediSoft Software

Setting Up Your EMC Receiver

After you have set up your practice and created your lists, you will be able to enter transactions based upon the cases which you have created. It is essential that your EMC receiver must be set up properly. To do this, review your EMC receiver information by clicking on "Lists" and then clicking on "EMC Receivers." The first screen that you see should look like this:

When you have completed the above steps, input the address and telephone number of Med Tech. Skip over the modem section. You will be using Hyper-Terminal to upload your claims rather than the Electroniclaim modem protocol. Now click on the tab labeled "ID and Extra."

After clicking on the "ID and Extra" tab, you should see the following screen:

In the Data phone: area enter clearinghouse number (674-7976).

In the dialing prefix: enter the area prefix (714).

Now click on the tab labeled "ID and Extra" and you should see the screen below

Fill in the "Program File" field as shown above with the letters "NDCXMT."

Input your submitter ID in the "Submitter ID 1" field. This identification number is assigned to you by the Med Tech Clearing House Department.

Now, click "Save" to save your EMC receiver settings.

Setting Up Your Insurance or Government Payers

It is important that you properly set up your payers for EMC claims filing. For example, assume that you are going to submit a claim to Medicare Part B – Texas.

First go to "Lists" and select "Insurance Carriers." Next, click on "New." You should see the following screen with blank fields.

In the blank fields, place the carrier’s correct address information (which you should keep on file as you do all of the carriers to whom you are sending bills).

Now, click on the "Options" tab and fill in the blanks. The "Plan" and "Type" fields may change with each new insurance carrier, but the remaining fields should be completed as demonstrated in the next figure (Figure EMC-D).

Be certain that you have a signature on file. Set each carrier to read exactly as the second set of fields. These fields are:

Signature on File - Change to read "Signature on File."
Default Billing Method - Change to read "Electronic."
Print PINs on Forms - Change to read "Provider Name

and PIN Number."

Now click on the last tab on the right labeled "EMC Codes." Before this can be properly completed, an Assigned Payer Number must be received from Med Tech. You can obtain a Payer Number by calling the Clearinghouse Department. Each insurance payer will have different payer numbers. (See the "EMC Codes" screen below.)

Note that there is a drop-down list box in which you must designate Med Tech Clearinghouse as the default EMC Receiver. In this case, you should input the Medicare Part B–Texas Payer Number in the "EMC Payer Number" field. Your insurance payer is now set up properly, and you should click on "Save."

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How to use ElectroniClaim