News & Events

Customer Support Tip: Payer Correspondence

One value that Apex provides its clients is delivering correspondence from payers to clients. This correspondence helps doctors better understand the status of their claim. If a payer rejects a claim, a doctor can know in most cases within 2-3 days, instead of waiting for an EOB to explain the rejection.

This benefit is a significant help towards getting doctors paid for claims in less time. Apex account managers strongly encourage all clients to check payer correspondence daily to ensure claim payment is not delayed. At Apex, we care about getting doctors paid.

Learn more about how to contact customer support.

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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5010 Roundup

At the end of this month most practices, payers, and vendor partners will be making the conversion to 5010. Below are a few items that will help you make the change as smoothly as possible.

Apex EDI 5010 Form Tutorials


5010 Form Differences
Configure the HCFA Form

Apex EDI 5010 SCHEDULE AND DEADLINES

APRIL 1, 2011
  • Apex EDI begins testing
MAY 1, 2011
  • Apex EDI begins preliminary testing with trading partners
JUNE 1, 2011
  • Apex EDI begins 837P testing with medical trading partners
JULY 1, 2011
  • Apex EDI begins 837D testing with dental trading partners
AUGUST 1, 2011
  • Apex EDI begins 999, 277CA, 835 testing with trading partners
SEPTEMBER 1, 2011
  • Apex EDI begins 270/271 testing with trading partners
NOVEMBER 1, 2011
  • Apex EDI begins migrating data to 5010 tables
DECEMBER 28, 2011 9 p.m.-January 3, 2012 12:01 a.m.
  • Apex EDI servers unavailable for final conversion to accepting 5010 data
5 THINGS YOU CAN DO NOW TO PREPARE FOR 5010:
  • Contact your practice management or software vendors. Find out when they will be ready to handle 5010 transactions.
  • Begin talking to your clearinghouse, billing service, and payers. Determine when they will have their upgrades completed and how they may be able to help your office if you are not ready for the transition.
  • Evaluate your office business processes and identify any changes you need to make in your practice to accommodate the changes in 5010.
  • Identify training needs and complete the necessary staff training.
  • Plan for implementation costs, including expenses for system changes, resource materials, consultants, and training.
Do you need to upgrade your Practice Management Software?


At Apex EDI we are preparing for 5010 and doing everything we can to make sure you will have a successful transition. We are putting in place systems that will assure that no matter how prepared you are, we will be able to help you continue to send claims and get paid.

Apex EDI's step-up and step-down 5010 compliant transactions may make it so that you do not need to upgrade at this time. However, there may be more reasons than 5010 transactions to upgrade your practice management software.

Changes to 5010 are being made in preparation for the changeover to ICD-10. So updating may be the right choice for your practice.

CMS 5010 Deadlines
January 1, 2010
  • Payers and providers should begin internal testing of Version 5010 standards for electronic claims
December 31, 2010
  • Internal testing of Version 5010 must be complete to achieve Level I Version 5010 compliance
January 1, 2011
  • Payers and providers should begin external testing of Version 5010 for electronic claims
  • CMS begins accepting Version 5010 claims
  • Version 4010 claims continue to be accepted
December 31, 2011
  • External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 compliance
January 1, 2012
  • All electronic claims must use Version 5010
  • Version 4010 claims are no longer accepted
October 1, 2013
  • Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures
  • CPT codes will continue to be used for outpatient services

If you would like to know more about how Apex EDI can help make sure your claims will get paid,
Request a consultation

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Halloween 2011

One of our core values at Apex EDI is to build a fun, positive, and family-like spirit. Recently we did just that. During the last week of October we had a few events to help bring all the employees together for some fun and friendly competition. The Halloween holiday was a great opportunity to have some fun. During the week leading up to Halloween Apex EDI employees competed in a pumpkin carving contest and chili cook-off. Everyone had a great time judging the contests and spending time together.

Winners for the pumpkin carving contest and chili cook-off were Bill Boy and Mike Oliver respectively. The pumpkins were extremely creative and the chilies varied from tasty to sweat-enducing, but all of them were great.

See more pumpkins here.

On Halloween day all our little Apex EDI Friends were invited to come into the office and trick-or-treat from desk to desk. It was great to have all the kids in the office and see how much fun they were having. Although there were plenty of ghouls and creepy costumes no one left unhappy and they had a ton of candy.

Everyone had fun.

See more of the trick-or-treaters here.

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79th Fastest Growing Company

Apex EDI has been ranked as the 79th fastest growing Utah business. The MountainWest Capital Network, Utah's first and largest business networking organization, ranks Utah businesses on a yearly basis. This is their 16th annual ranking and awards program and the fourth time Apex EDI has been listed as a 100 fastest growing company in Utah.

The announcement was made at the Grand America Hotel in Salt Lake City where Utah Gov. Gary R. Herbert was the keynote speaker. Sheldon Miner and Rob Armstrong, Apex EDI CEO and COO, attended the ceremony.

Our core purpose is to create opportunities that transform people's lives.

“Growth is an important part of our strategy. Our core purpose is to create opportunities that transform people's lives,” said Sheldon Miner. “Growth allows us to continue to expand the circle of people who receive those opportunities. We are building a whole ecosystem that nurtures personal transformation in the lives of our employees, with the medical practices that use our services, and with our business partners.”

The Utah 100 rankings are determined from thousands of eligible companies throughout the state representing all industries. The rankings are determined by the percentage of revenue increase from 2006 through 2010. Top Revenue Growth winners have the largest dollar amount of revenue growth over the same five-year period.

“Utah continues to prove its resiliency and economic prowess as one of the most business-friendly states in the country,” said Jason F. Watson, president of MWCN. “The Utah 100 aims a shining light upon the businesses who most exemplify this resiliency in Utah. We congratulate…all of the…Utah 100 fastest growing companies.”

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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Apex EDI One of Utah’s Fastest Growing Companys

The list of 100 fastest growing companies in Utah for 2011 was released by MountainWest Capital Network (MWCN). The rankings of the Utah 100 will be announced at the 17th annual Utah 100 Awards program Oct. 6 following a scheduled speech by keynote speaker, Utah Governor Gary R. Herbert.

During the event, MWCN will also announce the 15 Top Revenue Growth companies and the 15 Emerging Elite companies in Utah.

Rankings of the Utah 100 are determined by percentage increases in company revenues between 2006 and 2010. Those companies with the largest dollar amount of revenue growth makeup the Revenue Growth winners. The Emerging Elite are selected from among companies with less than five, but more than two, years of operation that show significant promise for future success.

The Utah 100 Event will be held Thursday, October 6, 2011 at the Grand America Hotel in Salt Lake City, Utah.

2011 Utah 100 in ALPHABETICAL Order—Actual rankings will be announced at the Utah 100 program.

  • Academy Mortgage Corporation
  • Accelerated Payment Technologies, Inc.
  • Access Technology Solutions, LC
  • Action Target
  • Amara Day Spa Salon & Boutique
  • Ancestry.com
  • Apex EDI, Inc.
  • Aribex, Inc.
  • ATMequipment.com
  • AtTask, Inc.
  • AvantLink.com
  • Axiom Financial
  • Backcountry.com
  • BidSync
  • Blackrock Microsystems, LLC
  • Cafe Rio, Inc.
  • Career Step, LLC
  • Caspian Services, Inc.
  • Castle & Cooke Mortgage, LLC
  • CLEARLINK
  • Conservice, LLC
  • Control4 Corporation
  • Costume Craze
  • Cytozyme Laboratories, Inc.
  • Davinci Virtual Office Solutions
  • Diamond Wireless
  • DigiCert
  • Diversified Financial Planning, Inc.
  • Durham Brands
  • Dynatronics Corporation
  • eGlobal
  • EnergySolutions, Inc.
  • England Logistics
  • EQUINOX Owner-Operator Solutions
  • Extra Space Storage, Inc.
  • Fishbowl
  • Five Star Franchising
  • ForeverGreen Worldwide Corporation
  • Fringe Media
  • FX Energy
  • GPS Capital Markets
  • Green River Capital
  • IntegraCore, LLC
  • Integratechs
  • Intrepid
  • iTOK.NET
  • Jakob Marketing Partners
  • Jean Brown Research
  • Johnson Mark, LLC
  • Kneaders Bakery and Café
  • LatterDayBride.com, LLC
  • Lendio
  • Little Adventures
  • MasterControl, Inc.
  • mediaFORGE
  • MediConnect Global
  • Merit Medical Systems
  • Mindshare Technologies
  • Molding Box
  • MultiLing Corporation
  • Myriad Genetics, Inc.
  • Namifiers
  • NetSteps, LLC
  • Neutron Interactive
  • New Dawn Technologies
  • Newpark Resort & Hotel
  • Next Generation Lighting Supply (NGL Supply)
  • One On One Marketing, LLC
  • Opticare of Utah
  • Packsize, LLC
  • Parvus Corporation
  • Pfadt Race Engineering, LLC
  • ProPay, Inc.
  • Property Solutions International, Inc.
  • Ralph L. Wadsworth Construction Company, LLC
  • Real Property Management
  • Resource Management, Inc.
  • School Improvement Network, Inc.
  • Seaich Corporation
  • SecureAlert, Inc.
  • SendOutCards, LLC
  • ServerPlus, LLC
  • Signature Products Group
  • Simply Mac, Inc.
  • Skullcandy, Inc.
  • Smile Reminder
  • SolutionStream
  • Stake Center Locating
  • StorageCraft Technology Corporation
  • Truenorthlogic
  • U.S. Translation Company
  • Veracity Networks, LLC
  • VitalSmarts
  • VMI Nutrition
  • VPI Engineering
  • Wasatch Software, Inc.
  • Wasatch Supply, Inc.
  • Whipple Service Champion
  • You Need a Budget
  • ZAGG, Inc.

MountainWest Capital Network is Utah's first and largest business networking organization devoted to supporting entrepreneurial success, and dedicated to the flow of financial, entrepreneurial and intellectual capital.

About Apex EDI

Apex EDI is a leading healthcare claims clearinghouse for medical and dental professionals. Apex EDI serves thousands of physicians, dentists, and other medical providers nationwide with its Apex OneTouch® solution. The OneTouch® solution is a Web-based electronic claims reimbursement system that increases productivity and profitability while facilitating fast payment of insurance claims and providing additional reporting and analysis. Founded in 1995, Apex EDI is based in American Fork, Utah.

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