FAQs

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#003333" TEXT="#F7F7FF" background="040d4c00dduajq.png"> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="0" WIDTH="95" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 46 WIDTH="91"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="46" ALIGN="bottom" WIDTH="91" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <div> What about...</div> <bR> <div> <A HREF="id23_m.htm#do_ecss_and_ce2000_support_the_national" TARGET="TRLX_Middle" TITLE="FAQs">NPI support?</A></div> <div> <A HREF="id23_m.htm#do_ecss_and_ce2000_support_medicare" TARGET="TRLX_Middle" TITLE="FAQs">Medicare Part D support?</A><A HREF="id23_m.htm#do_ecss_and_ce2000_support_medicare" TARGET="TRLX_Middle" TITLE="FAQs"> </A>  </div> <div> <A HREF="id23_m.htm#do_ecss_and_ce2000_support__the" TARGET="TRLX_Middle" TITLE="FAQs">TrOOP Eligibility support?</A>    </div> <div> <A HREF="id23_m.htm#do_i_need_to_sign_up_to_do_medicare" TARGET="TRLX_Middle" TITLE="FAQs">TrOOP Signup?</A></div> <div> <A HREF="id23_m.htm#can_my_claims_be_transmitted_over_the" TARGET="TRLX_Middle" TITLE="FAQs">Internet Transmission?</A></div> <div> <A HREF="id23_m.htm#are_ecss_and_ce2000_hipaa_certified_" TARGET="TRLX_Middle" TITLE="FAQs">Hippa Certification?</A></div> <div> <A HREF="id23_m.htm#what_are_switching_companies_and_why" TARGET="TRLX_Middle" TITLE="FAQs">Switches?</A></div> <div> <A HREF="id23_m.htm#can_i_use_more_than_one_switch_" TARGET="TRLX_Middle" TITLE="FAQs">Multiple switches?</A></div> <div> <A HREF="id23_m.htm#can_i_submit_claims_for_more_than_one" TARGET="TRLX_Middle" TITLE="FAQs">Multiple providers?</A></div> <div> <A HREF="id23_m.htm#can__asc_x12_nsf_or_ub92_claims_be" TARGET="TRLX_Middle" TITLE="FAQs">ASC X12, NSF &  UB92?</A></div> <div> <A HREF="id23_m.htm#can_dme_claims_be_transmitted_using" TARGET="TRLX_Middle" TITLE="FAQs">DME claims?</A></div> <div> <A HREF="id23_m.htm#what_about_transmitting_drugs_with" TARGET="TRLX_Middle" TITLE="FAQs">Drugs with supplies?</A></div> <div> <A HREF="id23_m.htm#can_i_submit_medicare_claims_real_time_" TARGET="TRLX_Middle" TITLE="FAQs">Medicare claims?</A></div> <div> <A HREF="id23_m.htm#can_i_install_ecss_on_a_server_" TARGET="TRLX_Middle" TITLE="FAQs">ECSS on a server?</A></div> <div> <A HREF="id23_m.htm#does_ce2000_support_concurrent" TARGET="TRLX_Middle" TITLE="FAQs">CE2000 licensing?</A></div> </td> <td valign="top" width="100%" BGCOLOR="#EEEEEE" TEXT="#080000"> <div> <A HREF="index.htm" TARGET="_top" TITLE="DayTech Corporation "><B><IMG SRC="048904e0.png" border=0 width="400" height="78" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></A></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="DayTech Corporation ">Home</A> |  <A HREF="id17.htm" TARGET="_top" TITLE="About us">About us</A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Products ">Products </A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="News">News</A>   |   <B>FAQs</B>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Contact Us">Contact Us</A></div> <bR> <div> FAQs</div> <div> <B> <A NAME="do_ecss_and_ce2000_support_the_national"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Do ECSS and CE2000 support the National Provider ID (NPI)?</B></div> <bR> <div> <I><B>YES!</B></I><B>  </B><FONT SIZE="2" COLOR="#003300" FACE="Arial" >Starting with Version 5, both ECSS and CE2000 have the ability to identify the Provider by NPI number as well as all of the other accepted ID numbers used with NCPDP claims. Version 7.5 contains changes to the way both ECSS and CE2000 support the NPI and is the recommended version to use for both products. These changes will be carried forward into all future versions as well. </FONT></div> <bR> <div> <B> <A NAME="do_ecss_and_ce2000_support_medicare"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Do ECSS and CE2000 support Medicare Part D claim submission?</B></div> <bR> <div> <I><B>YES!</B></I><B>  </B><FONT SIZE="2" COLOR="#003300" FACE="Arial" >Starting with Version 7, both ECSS and CE2000 support the creation and secure transmission of prescription drug claims to Medicare PDPs, Supplemental Payers, SPAPs, Medicare Advantage programs, etc... See </FONT><FONT SIZE="2" COLOR="#0000FF" FACE="Arial" ><A HREF="id22_the_following_features_apply_to_version.htm" TARGET="_top" TITLE="News">News</A> </FONT><FONT SIZE="2" COLOR="#003300" FACE="Arial" >for more information.</FONT></div> <bR> <div> <B> <A NAME="do_ecss_and_ce2000_support__the"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Do ECSS and CE2000 support  the Medicare Part D Eligibility transaction?</B></div> <bR> <div> <I><B>YES!</B></I><B>  </B><FONT SIZE="2" COLOR="#003300" FACE="Arial" >Starting with Version 7, both ECSS and CE2000 support the creation and secure transmission of TrOOP Eligibility requests. See </FONT><FONT SIZE="2" COLOR="#0000FF" FACE="Arial" ><A HREF="id22_the_following_feature_applies_to.htm" TARGET="_top" TITLE="News">News</A> </FONT><FONT SIZE="2" COLOR="#003300" FACE="Arial" >for more information.</FONT></div> <bR> <div> <B> <A NAME="do_i_need_to_sign_up_to_do_medicare"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Do I need to sign up to do Medicare Part D Eligibility Transactions?</B></div> <bR> <div> If you use Emdeon Business Services (WebMD) as your Switch, there should be no signup or additional paperwork required to access TrOOP Facilitation services.  </div> <bR> <div> If you use RelayHealth (NDC) as your Switch you can either call the TrOOP Facilitator Help Desk at  1-866-835-7595, or you can use the following URL to get to the TrOOP Facilitator Web Site and then click the<FONT SIZE="2" COLOR="#000000" FACE="Arial" > </FONT><FONT SIZE="2" COLOR="#0000FF" FACE="Arial" >Pharmacy Eligibility Agreement</FONT><FONT SIZE="2" COLOR="#000000" FACE="Arial" > link to sign up online:</FONT><FONT SIZE="2" COLOR="#0000FF" FACE="Arial" ><B>  </B></FONT></div> <bR> <div> <A HREF="http://medifacd.ndchealth.com/home/MediFacd_home.htm" TARGET="_top" TITLE="http://medifacd.ndchealth.com/home/MediF"><B>http://medifacd.ndchealth.com/home/MediFacd_home.htm</B></A></div> <bR> <div> Regardless of which Switch you use, you will be charged a standard amount for each Eligibility Transaction you submit. This charge will be in addition to your normal Switch charge for the transaction.</div> <bR> <div> <B> <A NAME="can_my_claims_be_transmitted_over_the"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Can my claims be transmitted over the Internet?</B></div> <bR> <div> <I><B>YES!</B></I><B>  </B><FONT SIZE="2" COLOR="#003300" FACE="Arial" >Starting with Version 5, both ECSS and CE2000 support the secure transmission of claims over the Internet. </FONT></div> <bR> <div> <B> <A NAME="are_ecss_and_ce2000_hipaa_certified_"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Are ECSS and CE2000 "HIPAA Certified"?</B></div> <bR> <div> <B>There is no such thing as "HIPAA Certified" hardware or software.</B></div> <bR> <div> <FONT SIZE="2" COLOR="#000000" FACE="Arial" ><B> </B></FONT>Health and Human Services wrote the HIPAA rules in a  "technology neutral" manner. However, Version 5 and higher of our products are "HIPAA TCS Compliant" meaning that they support the mandated Transactions and Code Sets for retail pharmacy. Our products also support items specified in the HIPAA Privacy and Security rules such as User ID's, passwords, privileges and database encryption. DayTech is a member of the NCPDP and monitors several industry news groups in order to remain abreast of the latest HIPAA developments. As finalization of the regulations move forward, we are committed to working with our clients and the industry to achieve the highest level of compliance possible for both our products and business practices. See <FONT SIZE="2" COLOR="#0000FF" FACE="Arial" ><A HREF="id22_ncpdp_ver_5_1_switch_certs__52001__1.htm" TARGET="_top" TITLE="News">News</A></FONT><FONT SIZE="2" COLOR="#000000" FACE="Arial" > </FONT>for additional information on our national Switch Certifications.</div> <bR> <div> <B>HIPAA compliance is a "process" that involves policies, procedures and training in addition to hardware and software. No single vendor or technology can make your organization "HIPAA Compliant." It will take a joint effort between you,  your vendors,  your payers and your other business partners to achieve that goal.</B></div> <bR> <div>   </div> <div> <B> <A NAME="what_are_switching_companies_and_why"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>What are Switching Companies and why are they used?</B></div> <bR> <div> Most payers do not allow providers to dial directly into their adjudication system. Instead they require you to connect a "Switch" computer which, in turn, routes the claim to the payer and the response back to you. Switches provide an  800 number or secure internet portal for you to use when sending claims. They, in turn, charge you a few cents per claim for providing the switching services. This system improves overall security and provides you with a single phone number to use regardless of the number of different payers to whom you submit claims. Our help desk can assist you in signing up with whichever Switching Company you decide to use.</div> <bR> <div> <B> <A NAME="can_i_use_more_than_one_switch_"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Can I use more than one Switch?</B></div> <bR> <div> Yes - each Plan can be assigned to a different Switching company.</div> <bR> <div> <B> <A NAME="can_i_submit_claims_for_more_than_one"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Can I submit claims for more than one provider?</B></div> <bR> <div> Yes - each plan you create has a field for Provider ID - simply create multiple plans. You can also use a single plan for multiple providers if you specify zeros in the Provider ID field of the plan. The system will then prompt you for the data on each claim you create. Since an image of the claim is saved after payment, you will not need to enter this value again on refills or reversals.</div> <bR> <div> <B> <A NAME="can__asc_x12_nsf_or_ub92_claims_be"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Can  ASC X12, NSF or UB92 claims be sent using this system?</B></div> <bR> <div> No - these formats are used for batched claims and are not designed for real-time transmission or on-line adjudication.</div> <bR> <div>  </div> <div> <B> <A NAME="can_dme_claims_be_transmitted_using"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Can DME claims be transmitted using this system?</B></div> <bR> <div>  <FONT SIZE="2" COLOR="#003300" FACE="Arial" >Usually. Some payers accept DME claims directly. Most of the other claims for DME items can be sent to a Clearinghouse using our software. The Clearinghouse will perform front-end edits, then convert the claim to the format required by the DME payer and forward it to them. </FONT></div> <bR> <div> <B>NOTE: When the HIPAA regulations were formulated, CMS was not aware that NCPDP Version 5.1 could support the submission of DME claims. Accordingly in the final rule they assigned DME claims to the ASC X12 standard. NCPDP has appealed this decision and asked CMS to allow NCPDP Version 5.1 to be used as well.  </B></div> <bR> <div> <B> <A NAME="what_about_transmitting_drugs_with"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>What about transmitting drugs with supplies?</B></div> <bR> <div> In some cases the payer can accept both the supply and drug in real-time mode. Otherwise you can usually submit the drug with our system and the supply on a CMS 1500. Submitting the drug real-time lets you know immediately whether or not the claim will pay and since the drug is usually the major expense on the claim, submitting it in real-time mode results in quicker payment and improves cash flow. The supply will pay later from the CMS 1500 submission<FONT SIZE="2" COLOR="#000000" FACE="Arial" >.</FONT></div> <bR> <div> <B>NOTE: </B>When the HIPAA regulations were formulated, CMS was not aware that NCPDP version 5.1 could support the submission of supply claims. Accordingly in the final rule they assigned supply claims to the ASC X12 standard.<B> NCPDP appealed this decision and under the NPRM for HIPAA 2, NCPDP Version D.0 has been named as an acceptable standard for transmitting supplies as well as drugs.  </B></div> <bR> <div> <B> <A NAME="can_i_submit_medicare_claims_real_time_"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Can I submit Medicare claims real-time?</B></div> <bR> <div> The answer depends on which Medicare program you need. Medicare Part D prescription drug claims <I>must</I> be created and transmitted using NCPDP formats. That means that those claims can be submitted using ECSS and CE2000. Medicare Part A and B claims are still considered to be Medical as opposed to Pharmacy and cannot be processed using NCPDP formats. Therefore they <I>cannot</I> currently be submitted using ECSS or CE2000.</div> <bR> <div> <B> <A NAME="can_i_install_ecss_on_a_server_"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Can I install ECSS on a Server?</B></div> <bR> <div> Yes - but only one user at a time can access it. For multiple concurrent users you need CE2000. ECSS is a single-user product. Each copy requires a separate license and activation code.</div> <bR> <div> <B> <A NAME="does_ce2000_support_concurrent"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Does CE2000 support concurrent licensing?</B></div> <bR> <div> Yes. CE2000 can be installed on up to 250 workstations. The number of concurrent users allowed is controlled by the system and is based on the number of seats you purchased.</div> <div>  </div> <bR> </td> </tr></table></body>