Here are the steps

1. Click File
Data file manager
Company configuration
on the Clearinghouse Tab
Uncheck the Adjuciation options at the bottom

in the Clearinghouse Account# put XXXX
in the Ip address put 68.118.206.13

Click OK to save

2. In your INSURANCE FILE
Find your DMERC plan and on the PLAN DATA TAB
change the PLAN TYPE from ONLINE to MEDICARE
and in the 2nd field GRP# put XXXX
Click Ok

3. Now IMPORTANT - in the adjudication world you only had one claim line
per transaction , now you can have upto 6 procedures per claim. And a CMN
ALSO- Make sure your modifiers are entered correctly and in the right order
as they were not maintained in the adjudication method.
EXAMPLE: RR KH KX  NOT  KH KX

4. FINALLY the procedure would be,,,
you enter claims answer Y to TRANSMIT (put in billing file)
when done entering claims you go to the BILLING MENU
PRINT AUDIT REPORT
PREPARE CLAIMS
SEND CLAIMS VIA SECURE FTP
OR SEND CLAIMS VIA SECURE WEBPAGE

thats it!