Corporate

5010 Trading Partner Directory

Attention J15 CGS 5010 Approved Trading Partners — Action Required!

CMS has requirements for our 5010 Approved Trading Partner Directory Listing on our website.

At a minimum, the directory must include the vendor/clearinghouse name, phone number, address, email contact information, software product name tested with CMS, production version and transactions offered (835, 837, etc.). If this information is not obtain, the listing must be removed until we obtain it.

We are asking our 5010 Approved Trading Partners to complete this formPDF and fax it back to:

Ohio Part A 615.664.5945
Ohio Part B 615.664.5927
Kentucky A 615.664.5943
Kentucky B 615.664.5917
Home Health and Hospice 615.664.5947

Electronic Media Claims (EMC) may be transmitted to CGS using various billing methods and communication software packages. The following list contains Trading Partners (vendors, billing services, clearinghouses) who have tested their software with CGS and been approved for 5010 claim submission.

ABILITY Network (including IVANS)

Butler Square
100 North 6th Street, Suite 900A
Minneapolis, Minnesota 55403
888.895.2649
sales@abilitynetwork.com
www.abilitynetwork.comExternal Website
Transactions Supported: 837P, 837I ,835, 276/277, 270/271(HETS)

ADL Data Systems

9 Skyline Drive
Hawthorne, NY 10532
914.591.1800
aaron@adldata.com
Software Product Name: Optimum
Software Version: 5010
Transactions Supported: 837, 835, 270/271, 277

American Healthtech

574 Highland Colony Parkway
Suite 200
Ridgeland, MS 39157-6080
601.978.6800
parbuthnet@healthtech.net
Software Product Name: LTC
Software Version: 5010
Transactions Supported: 837, 835, 270/271, 277

Axiom Systems,Inc.

241 East 4th Street
Suite 200
Frederic, MD 21701
602.439.2525
support@claimshuttle.com
www.claimshuttle.comExternal Website
Software Product Name: ClaimShuttle
Software Version: 5010
Transactions Supported: 837P, 837I, 835, 276/277, 270/271

BMS Medical Management Inc.

1220 Dewey Way STE E
Upland, CA 91786
800-478-2778
edihelp@bmsemail.com
Software Product Name: RevFlow
Software Version: 4
Transactions supported: 835, 837, 277

Change Healthcare – formerly Emdeon

3055 Lebanon Pike
Suite 1000
Nashville, TN 37214
877.363.3666
http://www.emdeon.com/sales-inquiry/External website
Software Product Name: Claim Master
Software Version: 5010
Transactions Supported: 837, 835, 277, 999

ClaimRemedi

422 Larkfield Ctr
Suite 282
Santa Rosa, CA 95403
1-800-763-8484
CRSales@claimremedi.com
Software Product Name: Various
Software Version: 5010
Transactions Supported: 837, 835, 276, 277, 270, 271

CPSI

660 Wall Street
Mobile, AL 36695
251.639.8100
contracts@trubridge.net
Software Product Name: CPSI
Software Version: 5010
Transactions Supported: 837, 835, 270

Etactics Inc.

4835 Darrow Road
Stow, OH 44224
330.342.0568 option 1
edisupport@etactics.com
Software Product Name: In-House
Software Version: 5010
Transactions Supported: 837, 835, 270

Healthcare Synergy, Inc.

5555 Corporate Ave
Cypress, CA 90630
714.229.8700
dave.crow@healthcaresynergy.com
Software Product Name: Healthcare Assistant Web Edition
Software Version: V6.9.36_5.38
Transactions Supported: 837, 835, 270

National Care Systems, LLC

14C 53rd Street
Brooklyn, NY 11232
Phone: 718-765-0458
Email contact: davidk@nationalcaresystems.com
http://nationalcaresystems.comExternal website
Software Product Name: Homeware
Software Version: Ncs20160718A
Transactions supported: 837I, 835

Nebo Systems (Passport Health/Experian)

1 S. 450 Summit Ave
Suite 270
Oakbrook Terrace, IL 60181
1-630-916-8818
teresa.hiltenbrand@passporthealth.com
Software Product Name: eCareCMS/ClaimSource
Software Version: 5010
Transactions Supported: 837, 835, 270

Quadax

7500 Old Oak Blvd
Cleveland, OH 44130
440.777.6300
qdxinfo@quadax.com
Software Product Name: XPEDITOR
Software Version: 5010
Transactions Supported: 837, 835, 270

RelayHealth, a Division of McKesson Technologies, Inc.

300 Data Court
Dubuque, IA 52003
800.527.8133 opt. 2
DBQTSHInsuranceSupport@RelayHealth.com
Software Product Name: Various
Software Version: 5010
Transactions Supported: Various

ZirMed, Inc.

888 W. Market Street
Suite 400
Louisville, KY 40202
877.494.7633
production@zirmed.com
Software Product Name: Revenue Cycle Management Solutions (RCM)
Software Version: 5010
Transactions Supported: 837, 835

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