Hi Jeanne, first if you are successfully submittng any Medicare claims through MedAdvant, then you should count yourself fortunate. Medisoft was not changed to support the NPI changes required by Medicare until v11 sp4. So if Medicare is working for you, then MedAdvant must be plugging in the NPI number for you.
Second, although a couple of Medisoft Direct Modules can send loop 2420E, they are not designed to be used with Noridian Medicare. What procedures are you trying to bill that require the ordering physician? Can you post the exact error message that you get from MedAdvant? That might shed some light on this error.
If you must send loop 2420E to Medicare, then I don't see you getting around this problem without upgrading. If you stick with MedAdvant clearinghouse, Medisoft will need to modify the Phoenix module to support this. Since Medisoft is currently trying to migrate everyone to the RelayHealth clearinghouse, I don't see this happening. The next option will be to push Medisoft into modifying the Noridian Medcare Part B (NDMB) module to support this loop. I would wait until Medisoft comes out with the fix first, before upgrading your Medisoft. SendClaim is also available, but that option is even more expensive.
Your other option will be to switch to a clearinghouse that has the ability to map the Ordering Physician for you. I would make sure the clearinghouse has this capability before making the switch.
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