WINASAP 2003 Frequently Asked Questions
How will I be notified of version updates to WINASAP2003?
Each state has a different requirement for notification to it's providers
which include, bulletins and mailings. However you will always be able to visit the website on the software updates page to see if a new version has been released.
[Return to top] Will WINASAP2003 import data from WINASAP2000?
Provider tables, recipient tables, and code sets may be converted from WINASAP2000 to WINASAP2003. Please be advised that, depending on the payer, code sets used prior to October 16, 2003 may no longer be
permitted. Stored claim information may not be converted from WINASAP2000 to WINASAP2003.
[Return to top] When I convert WINASAP2000 to WINASAP2003, should I be
concerned if my version of WINASAP2000 is not the most current available?
If your current WINASAP2000 application is older than version 6.0, you may experience some difficulty in converting existing tables to WINASAP2003. It is recommended that you install the update dated
10/9/03 located on the software updates page if you have a version prior to 6.0.
[Return to top] Can WINASAP2003 be utilized through a network?No, WINASAP2003 is not designed to be used with a network.
[Return to top]
Why does WINASAP2003 require a modem?WINASAP2003 requires a modem because it process electronic medical claims through a dial-up electronic bulletin board (BBS) system.
[Return to top] Are there plans to allow for other means of connection in the future?
There are no plans to develop other methods of connectivity for WINASAP2003.
[Return to top] Can you adjust the sort type when you print reports (ex. Alphabetical)?
No, sort types may not be adjusted.
[Return to top]
How do I know if I need to test?The WINASAP2003 software has been thoroughly tested by ACS experts. For this reason, EDI does not require WINASAP2003 users to test.
[Return to top] How do I test using WINASAP2003 to ensure my submissions went through successfully?
The WINASAP2003 software has been thoroughly tested by ACS experts. For this reason, EDI does not require WINASAP2003 users to test.
[Return to top]
Can WINASAP2003 be used to submit to anyone else, or just ACS?WINASAP2003 is designed for submission to ACS and its contracted
health plans.
[Return to top]
If it is determined that a claim is errored by use of my 824 response, will I also be told why?The WINASAP2003 software will only advise the user that an 824 has been issued and the claim is in error. For further clarification, the user
will call the EDI Call Center. Please note, not all payers use the 824 response.
[Return to top] What is the difference between the response I use to get with
WINASAP2000 versus those that I will be getting with WINASAP2003?WINASAP2003 provides a confirmation report that verifies the time of
submission, electronic file name, data of submission, and number of claims. In addition to the confirmation report, WINASAP2003 also allows the user to download any ANSI X12N 997s and ANSI X12N 824s
associated with any claims submitted with the software. The Functional Acknowledgment (997) transaction is used as the first X12 response to receiving an 837. The 997 informs the submitter that the transmission
arrived. In addition, the 997 can be constructed to send information about the syntactical quality of the transaction received. The 824, which is an ANSIX12 reporting transaction allows ACS to advise
the submitter of Implementation Guide, or Payer-specific errors that are not reported in the 997 Functional Acknowledgement. Please note, not all payers use the 824 response.
[Return to top] Is the primary identification number in my trading partner data the same as my submitter ID?Yes.
[Return to top] Will I be able to use WINASAP2003 to retrieve my 835 remittance advice?
No. WINASAP2003 only allows you to retrieve the 997 and 824 transactions.
[Return to top] Can WINASAP2003 be used to determine eligibility?No.
[Return to top] If I am a new user, should I start with WINASAP2000 or wait to use
WINASAP2003?The user should use whatever software release will allow them to submit
electronic claims faster. For example, if the payer is not supporting ANSI X12N transactions until November and the user wants to submit in September, it is beneficial to all if they use WINASAP2000 to submit
claims until the payer supports WINASAP2003.
[Return to top] Are the standard codes available in WINASAP2003 or do they need to be manually keyed in prior to use?All codes must be manually keyed or imported from earlier versions of WINASAP. WINASAP2003 does not have any codes resident in the software.
[Return to top] What happens if I submit using WINASAP2003 prior to the "Go Live" date?
The ACS EDI Gateway will not process any WINASAP2003 claims submitted prior to "go live".
[Return to top]
What happens if I submit using WINASAP2003 post "Go Live"?The ACS EDI Gateway will process any WINASAP2003 claims submitted
post "go live".
[Return to top] How do I get additional training for my staff?
Contact your Fiscal Agent or local Field Representative.
[Return to top] Is ACS available to provide training in my office?Please contact your Fiscal Agent or local Field Representative for this type of inquiry.
[Return to top] Why is there required information in WINASAP2003 that wasn't required in WINASAP2000?
The Transactions and Codesets rule of the HIPAA legislation has defined the ANSI X12N as the standard for conducting healthcare electronic data interchange. The WINASAP2003 software produces and sends this
format to the ACS EDI Gateway for processing. Therefore, it must ensure that all HIPAA-mandated information is required. The WINASAP2000 product produces and sends the National Standard Format v. 3.1 or UB92
v. 5 formats. Again, WINASAP2000 ensures that all minimally required information is present. However, in general, the NSF and UB92 formats do not have as stringent requirements as the ANSI X12N formats.
[Return to top] What do I do if am in the process of keying in a claim and I don't have access to some of this new required information?WINASAP2003 will not allow you to complete and send a transaction without the minimally required data.
[Return to top] When accessing options available by use of a drop down box, where should I turn if I'm not sure which to choose?Refer to your billing manual or call provider services, if you do call provider services make sure your question to them is in the form of a billing question.
[Return to top] How often should I purge my database?
If the software is running slowly or you feel that you have too many claims stored it may be prudent to purge the database. However, it is a
subjective decision. Data may be purged to a diskette for future access.
[Return to top] What should I do if I am experiencing a delay, but I don't want to
purge my database because I might need that information in the future.Data may be purged to a diskette for future access.
[Return to top] Once I start using WINASAP2003, will I be able to access claim information that was submitted using WINASAP2000?You will only be able to access claim information if you still have WINASAP2000 loaded on your computer. Claim information does not
convert to WINASAp2003. Users will only be able to access provider, recipient , and code set information within the WINASAP2003 application.
[Return to top] When going through the submission process with WINASAP2003, do I still need to generate and transmit?No, the generate functionality has been removed. WINASAP2003 just requires the user to complete and send the claims.
[Return to top]
Why does the software require me to choose a value for Patient Signature Source Code even though the field name is not underlined?
This field is situational. Depending on the value that is chosen for Release of Information Code it may become required. If the user chooses
anything other than "No, Provider is not allowed to release data", the software will require Patient Signature Source Code.
[Return to top]
I have been informed by the EDI Support Unit that my claims have rejected, but when I perform the "Receive Response File" step my claim status still reflects "Billed". How do I correct my claims and
resubmit?You must copy and correct each claim to resubmit. Click
here for detailed instructions.
[Return to top] |
