NC Medicaid will be putting a suspension in the system so that if people continue to use the 4010 format they will have to wait an extra checkwrite before getting paid rather than the first one after their submission. This is to give incentive to switch over to 5010. Our understanding is that this incentive will go in place as of January 5, 2012.

Use the instructions below to change your NC Medicaid payer codes to 5010.

Barnestorm billing personnel are responsible for switching payers to 5010 format when the payers are ready
(Barnestorm will not be switching each payer for each customer, so this is the responsibility of the billing
personnel at each agency). Here are the instructions for switching your payers.

How to Switch All Payers to 5010

If all the payers that you send electronic claims to are ready for 5010 format, you can switch all of them at once.  

Barnestorm is unable to track the 5010 conversion process of every independent payer, so please contact your payers

with questions about when they are ready for 5010 claims.

If you are ready to switch all payers to 5010, go to Codes > Security > Global Settings > Billing.

Change item 1310, “Create all claims as 5010,” from False to True.

All claims you create will be in 5010 format.

If you want to change individual payers to 5010, use the instructions below:

How to Switch One Payer to 5010

·        To switch a payer over to 5010, go to Codes > Program Related Codes > Payer Codes.

·        Look up your payer.  

·        Click the Electronic Claims Setup tab.

·        Change the last setting from 4010 to 5010. The setting above it should be on Production.

·        Click the Save Electronic Claims Setup button.

·        All claims you create for that payer will be in 5010 format.