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Real World Solutions for 5010 using WTX
We are currently implementing 5010 solutions using WTX and WMB so we have the real world experience you need... yesterday.

Step Up/Step Down vs. Parallel Processing

The two approaches to a 5010 solution using WTX are Step Up/Step Down and Parallel Processing. The Step Up/Step Down approach involves Stepping Up from 4010 to 5010 & Step Down from 5010 to 4010. The advantage of this is that your backend systems should remain largely unchanged, however, 5010 differences wouldn't be seen in the backend. The second approach is to create a new parallel process that handles 5010 by, for example, using new copybooks, WTX maps, and WMB flows to send 5010 transactions down another path and process. This does involve backend changes to your adjudication system which may take more time to implement. We can provide consulting services for either approach.


We have a WTX production ready, Step Up & Step Down solution. Here are three reasons your company needs our solution:

  • Production runtime solution where inbound 5010 data is stepped down to 4010 before sending to your adjudication system (aka mainframe, claims team) and 4010 data from your adjudication system is stepped up to 5010 before being sent out the door ensuring HIPAA compliancy.

  • Creating test data to test your 5010 implementation.

  • Third party tools such as EPIC (practice management) may not be ready for 5010 so the only solution is to Step Down the 5010 to 4010 until they are ready.


Click here for more information about our 5010 Step Up, Step Down approach using WTX.



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