LICENSES AND NOTICES

License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA websiteExternal Website.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

AMA Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

CMS Disclaimer

The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this license. The AMA is a third party beneficiary to this license.

POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

  1. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
  2. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association websiteExternal Website.
  3. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please click here to see all U.S. Government Rights Provisions.
  4. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT-4. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third-party beneficiary to this Agreement.
  5. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. End users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen.


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5010 Trading Partner Directory

Attention J15 CGS 5010 Approved Trading Partners — Action Required!

CMS has requirements for our 5010 Approved Trading Partner Directory Listing on our website.

At a minimum, the directory must include the vendor/clearinghouse name, phone number, address, email contact information, software product name tested with CMS, production version and transactions offered (835, 837, etc.). If this information is not obtain, the listing must be removed until we obtain it.

We are asking our 5010 Approved Trading Partners to complete this formPDF and fax it back to:

Ohio Part A 615.664.5945
Ohio Part B 615.664.5927
Kentucky A 615.664.5943
Kentucky B 615.664.5917
Home Health and Hospice 615.664.5947

Electronic Media Claims (EMC) may be transmitted to CGS using various billing methods and communication software packages. The following list contains Trading Partners (vendors, billing services, clearinghouses) who have tested their software with CGS and been approved for 5010 claim submission.

ABILITY Network (including IVANS)

Address: Butler Square
100 North 6th Street, Suite 900A
Minneapolis, Minnesota 55403
Phone: 888.895.2649
E-mail: sales@abilitynetwork.com
Website: www.abilitynetwork.comExternal Website
Transactions Supported: 837P, 837I ,835, 276/277, 270/271(HETS)


Allegheny Software Publishers, Inc.

Address: 125 State St.
St. Marys, PA 15857
Phone: 800.527.7213
E-mail: support@hhc3000.com
Software Product Name: HHC3000
Software Version: Build 5634
Transactions Supported: 837, 835, 270


August Systems Inc

Address: 4407 N Divison
Suite 300
Spokane, WA 99207
Phone: 509.468.2988
E-mail: lbatty@august-systems.com
Software Product Name: Visit Wizard
Software Version: 15.001
Transactions Supported: 837


Axiom Systems, Inc.

Address: 241 East 4th Street
Suite 200
Frederic, MD 21701
Phone: 602.439.2525
Email: support@claimshuttle.com
Website: www.claimshuttle.comExternal Website
Software Product Name: claimShuttle
Software Version: 5010
Transactions Supported: 837P, 837I, 835, 276/277, 270/271


Barnestorm, Inc.

Address: P.O. Box 1743
Lexington, NC 27293
Phone: 877.999.1171
E-mail: customersupport@barnestorm.com
Software Product Name: Barnestorm Office
Software Version: 1.2014.1226.0
Transactions Supported: 837I, 999, 277CA, 835, 271, 277


Black Bean Software

Address: P.O. Box 731
Land O Lakes FL 34637
Phone: 800.595.6164
E-mail: billing@blackbeansoftware.com
Website: www.hospicemanagementsoftware.comExternal Website
Software Product Name: FootprintsEMR
Software Version: 4.8
Transactions Supported: 270, 271, 275, 276, 277, 835, 837


Brightree LLC

Address: 1735 North Brown Road, Suite 500
Lawrenceville, GA 30043
Phone: 1-866-260-4630 X 3
E-mail: helpcenter@brightree.com
Software Product Name: Brightree Home Health and Hospice
Software Version: 2011
Transactions Supported: 837, 835


Change Healthcare – formerly Emdeon

Address: 3055 Lebanon Pike
Suite 1000
Nashville, TN 37214
Phone: 877.363.3666
Email: http://www.emdeon.com/sales-inquiryExternal Website
Software Product Name: Claim Master
Software Version: 5010
Transactions supported: 837, 835, 277, 999


Consolo Services Group, LLC

Address: 444 Lewis Hargett Circle
Suite 125-6
Lexington, KY 40503
Phone: 877.846.5831, option 1
E-mail: Sales@ConsoloServices.com
Software Product Name: Consolo
Software Version: 3.25
Transactions Supported: 277, 999, 835, 837


Cradle Solution Inc

Address: 16000 Park Ten Place
Suite 501
Houston, TX 77084
Phone: 713.776.8510
E-mail: edi@cradlesolution.com
Software Product Name: CradleMRX
Software Version: 3.0.1.1800 or Newer
Transactions Supported: 837, 835, 270


Health Data Systems, Inc

Address: 1515 E. Woodfield Road
Schaumburg, IL 60173
Phone: 847.398.0000
Email: wmgammon@healthdatasystems.com
Software Product Name: HDSI
Software Version: 5010
Transactions Supported: 837


HEALTHCAREfirst, Inc

Address: 1343 E. Kinsley
Springfield, MO 65804
Phone: 800.841.6095
E-mail: EDI-Development@healthcarefirst.com
Software Product Name: Enterprise Edition
Software Version: 5010
Transactions Supported: 837, 835


Healthcare Synergy, Inc

Address: 5555 Corporate Ave
Cypress, CA 90630
Phone: 714.229.8700
E-mail: cecile.mercado@healthcaresynergy.com
Software Product Name: Healthcare Assistant
Software Version: V6.9.36
Transactions Supported: 837, 835, 270


Health-e-Web (HEW)

Address: 2525 Colonial Drive
Suite A
Helena, MT 59601
Phone: 877.565.5457
E-mail: hwels@hewedi.com
Software Product Name: In-House
Software Version: 5010
Transactions Supported: 837, 835


Healthfusion

Address: 851 NW 45th Street
Gladstone, MO 64116
Phone: 816.891.8444
E-mail: pbrinkmeyer@healthfustion.com
Software Product Name: Chancellor EDI
Software Version: 7.1
Transactions Supported: 837, 835, 276/277


HealthTrust Software

Address: 2016 N. Stallings Dr.
Nacogdoches, TX 75964
Phone: 877.442.4555
Email: support@healthtrustsoftware.com
Software Product Name: HealthTrust Software
Software Version: 2013, 06.01
Transactions Supported: 837, 835, 999, 277, 270


HealthWyse, LLC

Address: 60 Concord Street
Wilmington, MA 01887
Phone: 877.777.9973
E-mail: support@healthwyse.com
Software Product Name: Healthwyse
Software Version: 19.0
Transactions Supported: 837, 835, 270, 277


Horizon Healthware, Inc.

Address: 266 W. Millbrook Rd.
Suite B
Raleigh, NC 27609
Phone: 919.676.8090
E-mail: support@horizonhealthware.com
Software Product Name: Promise
Software Version: 74000.0
Transactions Supported: 837, 835


HospiceMD, Inc.

Address: 100 N Citrus St.
Suite 225
West Covina, CA 91791
Phone: 626-699-2135 ext. 249
E-mail: hrojas@hospicemd.com
Software Product Name: HospiceMD
Software Version: HospiceMD 1.17
Transactions Supported: 835, 837


Hospicesoft

Address: 224 South Main Street
Suite 206
Springville, UT 84663-1851
Phone: 855-417-1420
E-mail: rhale@Q90.com
Software Product Name: Hospicesoft
Software Version: V2016
Transactions Supported: 837, 270


Indura Systems, Inc.

Address: 950 Northgate Drive
Suite 303
San Rafael, CA 94903
Phone: 415.226.1206
Email: support@indurasystems.com
Software Product Name: Igea HHC
Software Version: 5.1
Transactions Supported: 837P, 837I, 835, 270, 271


KanRad Technologies Inc.

Address: 405 N. St. Marys
San Antonio, TX, 78205
Phone: 408.669.4433 x1010
E-mail: llopez@kanrad.com
Software Product Name: KanTime Healthcare Software
Software Version: 7.0
Transactions Supported: 837, 835, 277, 999


MEDTranDirect, Inc.

Address: 105 W. Sherman Way, Ste. 107
Suite 107
Nixa, MO 65714
Phone: 855.855.6637
E-mail: kmitchell@medtrandirect.com
Software Product Name: 837Direct
Software Version: 5010
Transactions Supported: 837, 835, 276


Midwest Practice Solutions

Address: 7691 Five Mile Road
Cincinnati, OH 45230
Phone: 513.421.3504
E-mail: j.mcgrath@midwestpracticesolutions.com
Software Product Name: Memphys
Software Version: 7.1
Transactions Supported: 835, 837, 370


Mumms Software

Address: 643 Magazine Street
Suite 300
New Orleans, LA 70130
Phone: 866.GO.MUMMS
Email: info@mumms.com
Software Product Name: MUMMSPAS
Software Version: V20.12.2
Transactions Supported: 837, 835, 999, 997


OMS2 Software, Inc.

Address: 4 Midland Ave
Berwyn, PA 19312
Phone: 610.640.9944
E-mail: btrainor@oms2.com
Software Product Name: PRN Plus
Software Version: 4.0.37
Transactions Supported: 837I, 837P, 270, 623


Pro Healthcare Servicing LLC

Address: 100 North 6th St
Suite 900A
Minneapolis, MN 39403
Phone: 877.340.05610
Email: info@abilitynetwork.com
Software Product Name: Ability Network
Software Version: 5010
Transactions Supported: 835, 837, 999, 277CA


Quadax

Address: 7500 Old Oak Blvd
Cleveland, OH 44130
Phone: 440.777.6300
E-mail: qdxinfo@quadax.com
Software Product Name: XPEDITOR
Software Version: 5010
Transactions Supported: 837, 835, 270


RelayHealth, a Division of McKesson Technologies, Inc.

Address: 300 Data Court
Dubuque, IA 52003
Phone: 800.527.8133 opt. 2
Email: DBQTSHInsuranceSupport@RelayHealth.com
Software Product Name: Various
Software Version: 5010
Transactions Supported: Various


Spark Technologies (NewTech Care Systems)

Address: 13880 Harbor Blvd, Unit 6D
Garden Grove, CA 92843
Phone: 714.636.3360
E-mail: info@newtechcare.com
Software Product Name: Genie
Software Version: 10.1
Transactions Supported: 837, 835, 270


Trizetto Provider Solutions (formerly Claimlogic)

Address: 6525 N. Meridian Ave
Suite 600
Oklahoma City, OK 73116
Phone: 405.942.9800
E-mail: healthsystemsupport@trizetto.com
Software Product Name: Proprietary
Software Version: 5010
Transactions Supported: 837, 835, 270


Tynet USA

Address: 3030 Matlock Road
Suite 207
Arlington, TX 76015
Phone: 817.795.2800
Email: info@tynetusa.com
Software Product Name: Tynet Online
Software Version: V10
Transactions Supported: 837, 835


ZirMed, Inc.

Address: 888 W. Market Street
Suite 400
Louisville, KY 40202
Phone: 877.494.7633
Email: production@zirmed.com
Software Product Name: Revenue Cycle Management Solutions (RCM)
Software Version: 5010
Transactions Supported: 837, 835
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