Loading...
Loading...
Use the following table to setup claim options.
| Field | Description |
|---|---|
| Force Claim Break when Place of Service is | Select one or more Place of Service codes that will cause charges with the selected POS to break to a separate claim, if applicable. |
| Always send unit count as 1 on claim charge lines | Select this check box if the number of charge units should always be sent as 1 on claims, regardless of the actual charge units. For example, the number of units based on time for a charge is 3. If this option is selected, the number of units on the claim for that charge will be 1.
|
| Always send one line item per claim | Select this check box if claims should only include 1 line item. For example, an encounter has three charges. Two of the charges roll-up and the third charge is not part of the roll-up. If this option is selected, two claims will be created for the encounter, each with 1 line item. |
| Secondary Claims Roll-up lines view | Select one of the following billing options for the roll-up charge amount on secondary claims:
|
| Secondary Claims Always bill as primary when prior payer is | Select Open Folder to select one or more payers, if applicable. If one of the selected payers is primary on the encounter, the claim for the secondary payer will appear as if it’s a primary claim. |
| Tertiary Claims Roll-up lines view | Select one of the following billing options for the roll-up charge amount on tertiary claims:
|
| Tertiary Claims Always bill as primary when prior payer is | Select Open Folder to select one or more payers, if applicable. If one of the selected payers is secondary on the encounter, the claim for the tertiary payer will appear as if it’s a primary claim. |