Electronic Claims Testing

NOTE: Due to the ever-increasing compatibility problems with newer printers and newer versions of Windows it is strongly recommended that you upgrade to one of the Windows versions of The THERAPIST. Check out the comparison page to see what is the same and what is different. You can also download a free evaluation of either The THERAPIST EZ or The THERAPIST Pro or contact customer service to free evaluation CD.

The THERAPIST for DOS supports two electronic claim formats:

  • NSF 2.00
  • HCFA-1500 Print Image

HIPAA is a law that, among other things, mandates a format for electronic health care claims. The required format is the ANSI X12 837 X4010A1, a format not supported in The THERAPIST for DOS. The law mandates use of this format by all providers and receivers. There is one exception in the law and that is that when sending claims via a clearing house, the claims sent from the provider to the clearing house can be in any agreed-upon format. When the clearing house sends them on to the payers, they must be in the HIPAA required format.

Usually, when you begin sending claims to any receiver, whether a clearing house or directly to a payer, you have to go through a series of tests to verify that the claims you send are acceptibly formatted. This can be a simple matter of sending a test claim or can be a long and involved process depending on the receiver.

The Beaver Creek Software policy on testing is that we will assist you in the testing process with normal technical support charges if applicable. We will not directly test with a claim receiver, though we will continue to assist you in your own testing.