WINASAP5010 Quick Reference for Guide Gold Coast Health Plan
Contents
1. Provider Data i Provider Commercial Number 8 Click on the Save button WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 13 Setting up Patient Data Setting up Patient Data 1 From the WINASAP5010 Main Menu bar select the Reference option 2 Select the Patient option This will open the Patient List window 3 Click on the Add button This will open the Patient Data window Enter the 9 byte Recipient ID of the patient on the Patient ID field Note The GCHP ID is 8 numerics 1 alpha character This is required WINASAP5010 BRICKSTREET MUTUAL INSURANCE File Reference Claims Tools Window Help 2 Patient List Patient ID Sex Patient Account No Patient Name ate of Birth Property and Casualty Info Tel tt Patient Data Patient Data Insured s Data Patient Identification EaR Patient ID Patient Account Patient Name and Demographic Information Last Name Date of Birth i A First Name Date of Death Ei A Middle Name ER Initial Weight Suffix Sex 7 Property and Casualty Information Contact oOo O O GO ma Property and Name Telephone J Ext Casualty Claim j alty Property and Casualty x Property and Casualty Patient Code Patient Identifier Medicare Recipient D Patient Address Information Address Address con t Insurance Listing 0 of 02. 0 ee escsesesscsesecseseseseeeseseesees 16 Professional Claim HCFA1500 css saiccscictecc2cscutesotsseeccuscetesseistecaacceansebsdeestunslessesecteeatenteledadssteiedentehiticsze 16 Institutional Claim UBI 2 eissernir EE a eee eee 19 Transmitting Claims Receiving RESPONSES ccccssssesscscssssssssscsceseesssssseseaees 21 eV LINAS SAP i E E E E A E E 21 puomi EDT DII SS ee E E 24 The contents of this manual and the associated WINASAP5010 software are the property of ACS Any reproduction in whole or in part is strictly prohibited This software may be used only for submission of claims through ACS WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 1 WINASAP5010 Minimum Requirements WINASAP5010 Minimum Requirements To use WINASAP5010 your personal computer must meet the following minimum requirements e Windows 98 Second Edition Windows NT Windows 2000 Service pack 3 or higher and Windows XP Professional Operating Systems Window XP Home may cause some issues with installing Pentium Processor CD ROM Drive 25 megabytes of free disk space 128 megabytes of RAM Monitor resolutions of 800 x 600 pixels Hayes compatible 9600 baud asynchronous modem Telephone connectivity WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 2 Downloading WINASAP5010 Downloading WINASAP5010 Go to http www acs inc com edidirect From the menu bar Claims Gateway gt WINASAP gt Software and Manu
3. From To Code Code 1 2 3 4 Count Amount Total Claim Charges m a a WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 20 Transmitting Claims Receiving Responses Transmitting Claims Receiving Responses This section details two options to send claims electronically once they have been keyed The first option is to use WINASAP5010 to send your claims to ACS EDI using a asynchronous dial up modem and the second option is submitting your batch claims file generated by WINASAP5010 to the EDI DIRECT website Option 1 WINASAP This option provides instructions to submit your WINASAP claims via asynchronously dial up requires a phone line and dial up modem 1 Select Tools Send Claim File WINASAP5010 GOLD COAST HEAL TH PLAN Fie Reference Claims htm Window Help Send Claim File Receive Response File Build Nursing Facility Claims Reports Backup Database Restore Database Repair Claim Provider Data Update Reference Files d Purge Claims Security WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 21 Transmitting Claims Receiving Responses 2 Then select Send Keyed Claims choose production and click Send g Send Claims iol xj Submission Claim Status Selectio C Send REJECTED Claims Claims That Have Been Billed But Rejected C Send ERRORED Claims Claims That Have Been Billed But Errored Submission Type Selecta f Test Production L Professional S
4. is correct mm xi PC Produetior 4 Next WINASAP5010 will generate the claims file After you have generated your file go to C Program Files ACS WINASAP501 0 db 77160 and save the bil file to your desktop NOTE create a file name you will remember 5 Then go to our EDI Direct website at http www acs inc com edidirect and login using your assigned logon ID and password In the top right hand corner of the A ACS EDI DIRECT website enter your EDI Direct assigned EDI User ID and Password A Xerox F Company Then select enter on your keyboard Mews amp Events Contact Us Client Login Claims Gateway Eligibility Gateway Industry Presence Connecting healthcare industry stakeholders Reducing administrative costs We are EDI at work WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 25 Transmitting Claims Receiving Responses 6 From File Exchange click Send File Make a Selection Claime Deda Ontry fic Cochengec Institutional send File Professional Reineve File For Alistate Insurance Company Dearbrook Insurance Company and Encompass Insurance Submitters Informaton on how te submit athechments For these payers ia available in our Claims Payers List Reason Codes and 37 Specialty Codes for these payers are located on the Companion Guide page under Allctate There documents are ractricbed and only available to enrolled trading pariere whe hawe gigned anio th
5. key to advance to the next field when you are filling in any screen Reference or Claims e Do not use decimals or add extra zeros to procedure or diagnosis codes e TheF5 key is a quick key for adding the current date in all date fields e For faster data entry go to the Reference Menu first located in the upper left corner and fill out your applicable codes commonly used in your claims submission Example If you use the same group of procedure codes repeatedly enter the codes into the Procedure Code Reference Screen and use the drop down menu on the claim form to select the code instead of data keying You can also use this process for other reference information such as patient data diagnosis codes etc e Dates earlier than 1960 1959 and before must be entered in MMDDCCYY format e g November 18 1945 11181945 If not WINASAP5010 will interpret the two digit date as being 2045 vs 1945 e To quickly select the appropriate date in a date field click the calendar button then double click the appropriate date If you no longer want to select a date press the spacebar to exit the calendar window pop up Free technical support is available from the EDI Support Unit at 1 800 952 0495 WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 15 Claim Types Professional and Institutional Claim Types This section will identify specific screen shots by transaction type found in WINASAP5010 Note All field names th
6. 4 Click the Next Page button to enter Insurance Information Choose Self under the Insured Information Choose Primary under the Payer Responsibility Sequence Code WINASAP5010 BRICKSTREET MUTUAL INSURANCE File Reference Claims Tools Window Help z Patient List Patient ID Sex Patient Account No Patient Name ate of Birth Property and Casualty Info Tel Patient Data Patient Data Insured s Data Insured s Information Patient ID Insured s Address 7 fa E Property and Casualty Information SUITED Jor Patient Relationship Self sured Primal 0 to Insured ieee UU al Entity Type Person Insured s Group or Plan Name Organization Name Insured s Group or Policy H Contact ha 3 R Property and Casual i Name Telephone jf Ei Claim Payer Information Sequence Code state A zof Payer Name BRICKSTREET MUTUAL INSURANCE Payer Primary ID 77025 Payer Address Payer Responsibilt pak po Insurance Type fe City P Payer Secondary ID Patient Data Save Listing 0 of 0 5 Click on the Save button WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 14 Quick Tips Quick Tips for Using WINASAP5010 e Make sure you enter all providers and patients that you are submitting claims for in the Reference Section of the software first completing all the information including the address e Use the Tab key or the Enter
7. INASAP2003 12 When WINASAPS5010 opens enter asap as the password for the ADMIN user ID click Ok and then select the payer you will be submitting claims to This will become the default payer Note If you did not select Yes Launch the program file then follow these steps to open WINASAP5010 13 Click on the Windows Start button and select Programs 14 In the User ID field select the user name from the drop down list box ADMIN is the initial default Winasap5010 Login User ID ADMIN Password Cancel 15 In the Password field enter your password asap is the initial default for the ADMIN USER ID 16 Click on the OK button 17 The Select Payer drop down box will appear Select the payer you will be submitting claims to Once you make this selection it will become your default payer You will not need to choose it each time Click on the OK button Open Payer Tou must select the appropriate Payer from the Payer list Uk Select Paver He Day mars A Ah Cancel Show Payer Edits 18 The WINASAP5010 Desktop with the Main Menu Bar will display You are now ready to begin updating reference tables or entering claims Note WINASAP5010 has a default user ID of ADMIN and password of asap If you want to use the default user ID you may However if you want to establish different security levels for different users you may do so by following the procedures
8. Macs A Xerox e Company ACS EDI Direct Electronic Claims Acquisition Services WINASAP5010 Quick Reference Guide Gold Coast Health Plan This document was developed for the Gold Cost Health Plan provider community It is intended to provide download and setup instructions for WINASAPS5010 a claim creation and submission software program Updated 12 28 2011 2011 Xerox Corporation and ACS A Xerox Company All rights reserved ACS and the ACS design are trademarks of ACS Marketing LP in the United States and or other countries Xerox and Xerox and Design are trademarks of Xerox Corporation in the United States and or other countries WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 1 Table of Contents jie o 20 gh og t 5 b Rae eae A EIAN 1 WINASAP5010 Minimum Requirements uu ceeseseseseseseseseseseseseseseseseecseseseseens 2 Downloading VV LPIA SAP 50 1 s1 ccuscsuewecieninaiientcninamnrnniemmnawnbaunks 3 MITA CR INVES WINASAPSOTO sosisini ecenin eana RES 4 Setting Up Trading Partner Information oe csesesesesssceseseescsesesseseseeseseeeeees 9 Setting up Reference Tables ou cssscssssscsscssesscsssssssscssscsssscessesscsssesseesscsseseaeees 11 euna Un Provido DOT eiea i E EAA 12 Setting up Patient 17000 or omaneanaucaqannanncnnnemmnnnnenicenientonnnien 14 Quick Tips for Using WINASAP5010 ee esessssesesecscsesececsssesesesesesesseseseeseees 15 Professional and Institutional Claim Types
9. a number with call waiting disabled 70 9 18003342832 NOTE Please refer to your logon sheet for your specific submission phone number If your office has a long distance access code and you are unsure where to enter that number in this field please call the EDI Support Unit e Inthe User ID field enter your 9 digit user ID and press lt TAB gt e Inthe User Name field enter your User Name exactly as it appears on your logon form 8 Click on the Save button to record update your Trading Partner data WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 10 Setting Up Reference Tables Setting up Reference Tables Although some reference tables are optional they allow you to key claims faster Information from the reference tables is used by the system to automatically fill claim fields or to create drop down list boxes to help you select data field values In the following section you will find an example of setting up a reference table for Provider Data and Patient Data both of which are required WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 11 Setting Up Provider Data Setting up Provider Data 1 From the WINASAP5010 Main Menu bar select the Reference option 2 Select the Provider option This will open the Provider List window 3 Click on the Add button This will open the Provider Data window You must select the HCFA National Provider ID Note You will now enter your EIN or SSN on th
10. aim Codes Medicare Assionment Code i Release of Information Code Patient Signature Source Code Special Programm Indicator Code Delay Reason Code Claim Filing Indicator Claim Indicators Claim Amounts Homebound Indicator es Benefits Assignment Certification Indicator Patent Amount Paid Claim Numbers Mammogram Certification Mumber Referral Humber Medical Record Mumber Prior Authorization CLIA Number Other Claim Level Numbers Professional Claim Information Tab 3 Professional Claim Data Claim Data Claim Codes Claim Information Claim Line Item Claim Information Other Subscriber Infa Claim Mote Spinal Manipulation Info Claim PriceReprice Information Supplemental Info Contract Info Related Causes Info EFSDT Into Semice Facility Info File Info Vision Info Miscellaneous Dates WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 17 Claim Types Professional Claim Line Items Tab 4 Professional Claim Data 5 ry it E FILE wae aaa aaa FETI r r J 1 Charnes Wades mda Fears Tea Lot haf sat r rtf Ll hs A File Inta Medical Equipment Info Miscellaneous Providers Form IE Inta Miscellaneous amp maunts Purchased Service Inho Line Adjudication Into Miscellaneous Dates seice Facility Into Line ltem Motes Miscellaneous Indicators SUpplemental Inta Line Prices Repnice Into Miscellaneous Numbers T
11. als On the WINASAP5010 Software and Manuals page click WINASAP5010 Version 1 01 A new window will open with a direct link to download the software Please proceed to download When the screen appears prompting you to Open this file from its current location or Save this file to disk choose Save this file to disk Then click OK A box will appear asking where you would like to save the file In the Save In box select Desktop from the drop down menu click Save After the file has completed downloading you may close your Internet connection Double click the file named Winasap5010_v101P exe located on your Windows Desktop and follow the on screen installation instructions WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 3 Installing WINASAP5010 Installing WINASAP5010 The installation and setup of WINASAP5010 is an easy two step process 1 Install the WINASAP5010 software on your PC 2 Start WINASAP5010 and set up your Trading Partner and Reference tables 3 When the first Welcome Window displays click the Continue button Winasap5010 Welcome ACS EDI GATEWAY INC Welcome to WIN AS APSOILO Installation To install the software follow the installation prompts When completed lamch the software and enter 45 4 FP for the passarord Be sire you have at least 20 megabytes of free die space If yo have any problems dming the metallation process please contact th
12. at are underlined are required at minimum Professional Claim HCFA1500 Professional Claim Data Tab 1 WINASAP5010 BRICKSTREET MUTUAL INSURANCE Fie Reference Claims Tools Window Help Professional Claim Data Claim Data Claim Codes Claim Information Claim Line Items il Date i i Claim or Encount BillDate EE User Batch User Claim Number Claim Status Keyed v am or Encounter Chargeable Patient Information E Patient ID Patient Account t Date of Birth 2 2 Sex Last Name First Name Middle Name Initial Provider Information Billing Provider Pay to Address Rendering Provider Taxonomy Code Signature on File C No Yes Referring Provider 1 X Supervising Provider X Claim Data Health Care Diagnosis Codes Anesthesia Related Procedure Condition Information 7 Anesthesia Related Diagnosis a Procedure Code 1 Condition Code List Principal Condition Codes Diagnosis z Anesthesia Related Procedure Code 2 Other Diagnosis Codes v Place of Service v Claim Frequency JAEn ae AE E EA ET Type Code Next Page Save Cancel WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 16 Claim Types Professional Claim Codes Tab 2 Professional Claim Data Claim Data Claim Codes Claim Information Claim Line Items Cl
13. e EDI Helpdesk EDI Helpdesk j InstallShield Welcome Welcome to the WinasapS01 0 Setup program This program will install WwinasapS01 0 on your computer lt is strongly recommended that you exit all Windows programs before running thi Setup program Click Cancel to quit Setup and then close any programs you have running Click Nest to continue with the Setup program WARNING This program i protected by copyright law and International treaties Unauthorized reproduction or distribution of this program or any portion of it may result in severe civil and criminal penalties and Will be prosecuted to the masimum extent possible under law Cancel WINASAP5010 Quick Reference for Guide Gold Coast Health Plan Installing WINASAP2003 5 The Software License Agreement window displays next Read through the agreement and click yes to accept the terms of the agreement and continue installing WINASAP5010 If no is clicked the install program will terminate Software License Agreement Please read the following License Agreement Press the PAGE DOWN key to see the rest of the agreement WIN AS APSO User License Agreement WHEREAS ACS has developed WINASAPSOIO an electronic billing software package that enables medical providers to file claims with ACS hereinatter WINASAPSOO and WHEREAS Provider wishes to use amp license WINASAP5O10 for its business use NOW THEREFORE in consideration of the mutua
14. e cite 7 Select browse and upload file Please note This will be the bil file you saved on your desk top Welcome WINASAP TEST 2003 to amp Send File To Send a file click the Browse button on the form below It will open a window in your browser that will allow you to navigate to where the file is located on your computer Select it and then press the open button The file will then appear in the Send File box below When you are satisfied with your selection press the Submit Selecta Fie You can send a X12 file in any of the folloving formats plain text zip cab gzip WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 26 Transmitting Claims Receiving Responses 8 Wait at least 15 minutes and go back to the home screen and retrieve your Confirmation Report Welcome WINA S Retrieve Files available for download please select a document type docum ments To dowmload a specific file click the Download button the document to your local storage Select a Document Type Select a Document Type Allstate Insurance 997 Archive BrickStreet 824 Error Report BrickStreet 997 Confirmation Reports 5 EDI Gateva DC 824 Error Report 9 The next business day you will need to go back in and retrieve your Gold Coast Health Plan GCHP 997 Welcome WINA SAI Retrieve Files able for dowmload please select a document type document typ To dovmload a specific file click the Dovmload butt
15. elect by Claim Type O Institutional O Dental PLEASE NOTE Nursing Facility Claims will be generated by selecting Institutional SelectAll Deselect All 3 The following dialogue box System Message will appear Click Ok if the number of claims is correct w4 Send Claims 5 x Submission Claim Status Selecto i Send KEYED Claims Claims That Have Not Been Billed Send REJECTED Claims Claims That Have Been Billed But Rejected Send ERRORED Claims Claims That Have Been Billed But Errored Submission Tune Selertin x 2 i System Message x Production 1 claims will be generated Do you wish to proceed Select by Claim Type i Cancel PLEASE NOTE Nursing Facility Claims will be generated by selecting Institutional Test Submission SelectAll DeselectAll WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 22 Transmitting Claims Receiving Responses 4 WINASAP5010 will generate the claims and then dial the modem to send them You will see a confirmation report appear NOTE WINASAP5010 stores the last 50 confirmation reports in the reports section 5 After at least 2 hours go back into WINASAP5010 and receive your response file This will let you know if the file was accepted or rejected 6 Select Tools Receive Response File WINASAP5010 GOLD COAST HEALTH PLAN Fie Reference Claims MEES Window Help Send Claim File Receive Resp
16. est Results WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 18 Claim Types Institutional Claim UB92 Institutional Claim Data Tab 1 Institutional Claim Data Claim Data Claim Codes Claim Line Items Bill D ate ERE A User Batch Claim Humber Claim Status Keyed Na Chargeable Patient Information Patient ID Patient Account H Date of Birth i Sex Last Name First Mame Middle Namelnitial Provider Information Biling Provider Pay to Address Service Facility Location Taxonomy Code Attending Provider Taxonomy Code Operating Physician Uther Operating r Physician Rendering Provider Referring Provider Pay To Flarn Referral Prior 4uthorization Type of Bill i Repricer Received Auto Accident State Medical Record Betis l Institutional Claim Codes Tab 2 Institutional Claim Data Claim Cata Claim Codes Claim Line Items Procedure Codes Principal Procedure Principal Procedure Principal Procedure Code Qualifier Code Date E we Other Procedure Codes Diagnosis Codes Principal Diagnosis Principal Diagnosis Present on Other Diagnosis Codes Code Qualifier Code Admission Indicator Admitting N Diagnosis Code Admitting Qualifier Diagnosis Code Additional Claim Codes Assignment or Plan Participation Code Release o
17. f Information Code Delay Reason Code Claim Filing Indicator Code Assignment of Benefits Indicator DAG Code Patient Reason For visit Codes External Cause of Injury Codes Occurence Span Codes Oecunrence Codes Value Codes Condition Codes Treatment Codes Claim Pricing Repricing Info Additional Claim Information Patient Responsibility an Claim Motes Billing Notes Other Subscriber Info Other Reference Into Supplemental Info Contract Info File Info EPSOTInfa Amount WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 19 Claim Types Institutional Claim Line Items Tab 3 Institutional Claim Data Claim Data Claim Codes Claim Line Items Senvice Line Product Service Procedure Revenue Code ID Qualifier Code Procedure Modifiers Description Line Item Charge UnitorBasistor Service Units Worn Covered Amount Measurement Code Count Charge Amount Service Date s E E A Line ltem Repriced Line Adjusted Fepriced Service Tax Control ltem Ret Line Item Ref Amount Facility Tas Amount Pc tll PT E eT T Other Operatin Operating Physician Physician A Rendering Provider Retering Provider P Add line item Additional Line ltem Information Drug Information Paperwork Adjudication Information Line Pricing Repricing Info Delete Copy First Previous Next Last H Semice Dates Revenue HCPCS Modifiers Sewice Units Charge
18. ication field enter your 5 or 6 digit Trading Partner ID number assigned to you by ACS and press lt TAB gt This is a required field e Secondary Identification field enter your 5 or 6 digit Trading Partner ID number assigned to you by ACS and press lt TAB gt This is a required field 4 Inthe Trading Partner Name section complete the following fields e Entity Type Select the appropriate choice from the drop down list box This is a required field e Organization Name if non person entity selected or Last Name First Name if person selected This is a required field 5 Inthe Contact Information section complete the following fields Contact Name Telephone Fax Email 6 Inthe Additional Contact Information section complete the following fields Contact Name Telephone Fax Email WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 9 Setting Up Trading Partner Information 7 Inthe WINASAP5010 Communications section complete the following fields e Inthe Host Telephone field enter ACS data telephone number as follows 18003342832 If you must dial 9 to access an outside line enter the telephone number as 9 18003342832 The comma causes a one second pause You MUST enter the comma between the 9 and the first digit of the telephone number If your phone line has the call waiting feature disable it Refer to your local telephone book for instructions The following is an example of
19. in the user manual WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 8 Setting Up Trading Partner Information Setting Up Trading Partner Information WINASAP5010 uses the information you enter in the Trading Partner Information window to uniquely identify your claim data and to provide ACS EDI Claims Clearinghouse with the information necessary to authorize and accept your claim transmissions Note The Trading Partner Information screen must be completed before you can successfully submit claims This is a required step In the event that your name address telephone numbers or identification numbers change you can perform these procedures again to update your Trading Partner data 1 From the WINASAP5010 Main Menu bar select the File option 2 Select the Trading Partner option This will open the Trading Partner window WINASAP5010 BRICKSTREET MUTUAL INSURANCE File Reference Claims Tools Window Help Trading Partner Information Trading Partner Identification Primary Identification Secondary Identification Trading Partner Name Contact Information Contact Name Entity Type Telephone f J FAX ji Email Additional Contact Information WINASAP5010 Communications Host Telephone lt User Name Cancel 3 Inthe Trading Partner Identification section complete the following field e Primary Identif
20. is tab Provider Data Provider Data Secondary Identification Provider Identification NPI Number Provider Taxonomy Code z Provider Name Provider Address Entity Type Address fC State a Fin Code Billing and Service Facility Ep Lode Provider Zip MUST be 9 digits Provider Tax Identification Number ID Type El Contact Information Additional ate Social Security Number Contact Name Contact Name Telephone Ext Telephone I j Ext o zz Fast 0 E mail E mail Next Page Save Cancel 4 Inthe Provider Address section complete the following fields Address Enter the provider s physical address and press lt TAB gt Address con t City Enter the name of the city in which the provider s practice is located and press lt TAB gt State Use the drop down list box to select the state in which the provider is located and press lt TAB e Zip Code Enter the postal zip code for the provider s office address and press lt TAB gt 5 Inthe Contact Information section complete the following fields Contact Name Telephone Fax Email 6 Inthe Additional Contact Information section complete the following fields Contact Name Telephone Fax Email WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 12 Setting Up Provider Data 7 Click the Next Page button to enter Secondary Information WINASAP5010 BRICKSTREET MUTUAL INSURANCE Provider List
21. l promises and covenants contained herein and other good and valuable consideration the receipt and sufficiency of which t hereby acknowledged the parties hereto agree to as follows 1 License ACS hereby grants and Provider hereby accepts a non transferable non exclusive license to use WINASAPSOTO solely for its own business use in electronically submitting medical claims to ACS Do you accept all the terms of the preceding License Agreement If you choose No Setup Will close To install Winasap5010 vou must accept this agreement 6 The User Information window will display next Enter your name and the name of your company Once this information is entered click Next User Information Please enter your name and the name of the company for whom wou work WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 5 Installing WINASAP2003 7 The Choose Destination Location window will display WINASAP5010 indicates where its program files will be installed Click the Next button Choose Destination Location Setup will ingtall Winaeap501 in the following folder To install to this folder click Next To install to a different folder click Browse and select another folder You can choose not to install WinasapS010 by clicking Cancel to eit Setup Destination Folder C Program Files ACS 5010 Browse Cancel 8 The Start Copying Files window follows indicating the current settings y
22. on to sa the document to your local storage Display Documents gt gt Gateway Inc who submit claims electronically will have access JiDIRECT website However if questions arise for any Medicaid he applicable State to retrieve the appropriate contact number f je 2 Se To SF iio PUI OES Tier Tens CA ho 2S ber Tooele FL Siri ims 10 After you have reviewed your 997 acknowledgment go back into the WINASAP software and update the claim status from Keyed to Hold Updating this information is important or the next time claims are generated claims previously submitted will be generated again laim Status Keyed Encounter Claim 4 Ger Female er lnitial L Fear es 1 WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 27 Transmitting Claims Receiving Responses 11 Please note When you are reviewing your acknowledgement report from the GCHP 997 folder Look at the AK 5 for an A or R If you receive an A you may HOLD your claims in the WINASAP software if you receive an R contact us and we will assist you in reviewing your errors WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 28
23. onse File Build Nursing Facility Claims Reports Backup Database Restore Database Repair Claim Provider Data Update Reference Files ef Purge Claims Security 7 Click Receive Receive Response File Oj x IF You Would Like To Receive Claim Responses Click On The Receive Button Below If You Do Not Wish To Receive Claim Responses At This Time Click On The Cancel Button Below Cancel 8 You will not actually see the file but it will change the status of your claims to either accepted or rejected If they are rejected contact the EDI Support Unit for assistance WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 23 Transmitting Claims Receiving Responses Option 2 EDI Direct Requires Technical Knowledge to use option two This option allows you to submit your WINASAP generated claims file bil via the web using EDI Direct 1 Select Tools Send Claim File WINASAP5010 GOLD COAST HEAL TH PLAN e Tools Wi Send Claim File Receive Response File Build Nursing Facility Claims Reports Backup Database Restore Database Repair Claim Provider Data Update Reference Files Purge Clairns Security 2 Then select Send Keyed Claims choose production and click Send Send Claims WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 24 Transmitting Claims Receiving Responses 3 The following dialog box will appear click Ok if the number of claims
24. ou have chosen so far during the installation Click the Next button Start Copying Files Setup has enough information to start copying the program files IF You want to review or change any settings click Back IF you are satished with the settings click Next to begin copying files Current Settings Setup Type Complete Application Directory C Program Files 405 44 5010 Database Directory C Program Files 4405 501 O 4db User Information EDI USER ACS 4 Kers Company Cancel WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 6 Installing WINASAP2003 9 WINASAPS5010 will begin copying its files to your hard drive sd Winasap5010 Setup Version 5 03 Winasap5010 Setup Version 5 03 c program files acs w501 O uninst dll einen 32 gt T LY gt 10 If you chose to restart your computer or you did not get the restart window you will now see the option to Launch the program If you place a checkmark in this box and click Finish it will start WINASAP5010 If you chose to launch the program after you clicked Finish go to Step 14 otherwise go to Step 13 setup Complete Setup has finished installing Winasap501 0 on your computer Setup can launch WinasapS01 0 by choosing the option below and clicking finish Click Finish to complete Setup lt Back 11 Click the Finish button WINASAP5010 Quick Reference for Guide Gold Coast Health Plan 7 Installing W
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