1. – Which type of ICD-10 claims are you able to process?
Which type of transactions are you able to perform:

– 270/271 Eligibility Inquiry/ Response?

– 278 Auth. Request & Response?
– 837P Claims Submission?
– 835 Claims Remittance?
– Non-Standard Transactions?

2. – Is ICD-10 end-to-end testing open to all clients?

a. – How is payer-specific testing handled?

Claim MD is handling payer specific testing for providers, or providing special pass through payer ID’s for user tests.

b. – How does a practice participate in testing?

Submit claims to payer ID “ICD10” for detailed results on the ICD-10 data submitted.

3. – Do you have a physician outreach plan in play?

a. – Are there any special instructions for processing ICD-10 claims?


b. – Are there any new or separate fees for updates or processing?


c. – What percentage of practices do you estimate have/are testing?

4. – Specifically, how will your technology help practices transition to ICD-10?
Claim MD auto crosswalks from/to ICD-10, or gives providers a quick list of possible codes when a direct crosswalk is not available.

5. – What type of ICD-10 claim reports are you able to provide:

a. – Claim rejections and denials by CPT, diagnosis code, and by payer?

b. – Commonly used unspecified diagnosis codes?

Detailed report of all commonly codes used, and their ICD-10 equivalent.

c. – Other?

6. – What type of resources and education do you have available?


7. – Is your support staff fully ramped up?

8. – What % of customers have you communicated your ICD-10 strategy and details with?

9. – What % of EHR/PM vendors have you participated with in testing?

10. – Do you know of payers that have not tested, or are still unable to test?