PC-Ace Pro32 Claim Filing Options

5010 PC-Ace Instructions

• Setting up PC Ace to create a version 5010 file
  (version 2.30 and earlier only)

PCACE Pro32 Technical Bulletin

Adobe Reader XI (Version 11.0) Claim printing issue: 12/27/2012

This technical bulletin describes a problem printing claims in PC-ACE Pro32 using the image overlay (Adobe Reader) method. A change made in the recently released Adobe Reader XI (Version 11.0) is responsible for this problem.

Impacted Configurations: The problem described in this technical bulletin impacts customers who print claims using the image overlay method, and who have Adobe Reader XI (Version 11.0) or later installed.

Problem Description/Symptoms: The user has recently installed or upgraded to Adobe Reader XI (version 11.0) or a later version. Adobe Reader XI now recognizes the claim form PDF file as "modified" when previewing claims in PC-ACE Pro32 using the image overlay method, and subsequently prompts the user to save the changes when closing Adobe Reader. This prompt is unnecessary and may be confusing to the user.

Problem Resolution: PC-ACE Pro32 users experiencing this symptom should visit the following page on the Soft Ware Designer website...

http://www.system-designs.com/AdobeReader9.htm

...and scroll down to the section titled "Problem #3 - Adobe Reader Prompts To Save Changes When Exiting." They should download and run the patch provided in this section to eliminate the unnecessary Adobe Reader prompt.

IMPORTANT CHANGES regarding PC-ACE and 5010 format claims:

1. You must use 9 digit zip codes on your claims in the billing provider and facility provider (if applicable) address. If you are unsure of your 9 digit zip code, you can find it at the
   United States Postal Service website
2. You cannot submit claims with a PO Box in the billing provider address.
3. If you are billing for ambulance services, you must provide a diagnosis code on the claims as well as the pick up and drop off location.
4. On each Patient Setup file in the Reference File, the "Release of Information Indicator" (ROI) must be either an "I" or a "Y".

Claim Entry Software

PC-Ace Pro32 is a "stand alone" software package that creates a patient database and allows your office to electronically submit most WPS commercial, Medicare Part B IL, MN, WI, MAC J5 A & B, MAC J8 A & B, J5 National Part A, TRICARE West Region, TRICARE For Life Direct and TRICARE Foreign claims electronically.

If you are interested in obtaining the PC-Ace Pro32 software it is available for download on this website. If you are a new submitter you will also need to complete an EDI Agreement and request form in addition to downloading the Full Install of PC-Ace Pro32 V2.44. Existing PC-Ace users please download V2.44 upgrade instead of Full Install. If you need further assistance please contact WPS Electronic Data Services Department.

• More information about PC-Ace Pro32

Medicare Part B (IL, MN, WI)

Toll-free 1-877-567-7261

Medicare MAC J5 (IA, KS, MO, NE), Medicare MAC J8 (IN, MI) and J5 National Part A

Toll-free 1-866-503-9670

TRICARE For Life Direct/West Region/Foreign & WPS Commercial

Toll-free 1-800-782-2680 (Option #2)

Electronic Data Services (EDI) Paperwork

You can also download the EDI Agreement paperwork by selecting one of the following links

• Provider Agreement To Submit Electronic Media Claims
  (WPS Commercial and EPIC)
• Provider Agreement To Transmit Electronic Media West Region & Foreign Claims
  (TRICARE West Region)
• Electronic Data Interchange Enrollment Form
  (Medicare Part B -- WI, IL, MN, MAC J5 A & B, Mac J8 A & B and J5 National Part A)

PC-Ace Pro 32 Information and Request Forms:

• WPS and Family Care
• EPIC
• Medicare Part B: IL, MN, WI, IA, KS, MO, NE, MI, IN
• TRICARE & Foreign
• Please complete the Submitter Profile below, or self-register at the following URL to obtain your own WPS Submitter ID: Self-register to obtain WPS Submitter ID
  • Submitter Profile

PC-Ace Communication Documentation

Communication Software is required to transmit claims and receive electronic reports:

Hyper terminal Set-Up Instructions
Hyper terminal is a Windows based product not supported by WPS, however, WPS will provide set-up instructions.

• View Hyper terminal Instructions

Worldgroup Manager Install
(Can be used with Windows XP and Vista if additional Microsoft patches are applied)

• View Worldgroup Manager Install Instructions
• Install Worldgroup Manager software
• View the Worldgroup Manager Users Guide