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The Encounter Rate Library with Claim Detail Rules report includes information from the Encounter Rate Billing library in File Maintenance. Information on the report pulls from the Encounter Rate Billing Library Maintenance window > Claims tab. The report includes the following information:
| Column | Description | Data Populates From |
|---|---|---|
| Description | Library Name | Encounter Rate Billing Library field |
| ER Claim Detail Rule | ER Claim Detail Rules Description | Encounter Rate Claim Detail Rules window > Description field |
| Eff Dt | Effective Date | Encounter Rate Claim Detail Rules window > Effective Date field |
| Exp Dt | Expiration Date | Encounter Rate Claim Detail Rules window > Expiration Date field |
| Prim Include Copay Ind | Include Copay in Primary Electronic Claim | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section (Y/N) |
| Prim ER SIM on the Claim | Do you send the ER SIM on the Claim? | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section (Y/N) |
| Prim Display narr on ER SIM | Primary Display narrative on ER SIM charge line | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section (Y/N) |
| Prim Pull Narrative Data From | Primary pull narrative data from field | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section |
| Prim ER SIM Amt | What is the ER SIM Amount? | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section |
| Prim ER SIM Position | Is the ER SIM the first or the last line item on the claim? | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section |
| Prim ER SIM Element | What data element is the ER SIM on the claim? | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section |
| Prim Value Code | What value code is sent on the claim? | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section |
| Prim Orig Chg on Claim | Do you send the original charge lines on the claim? | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section (Y/N) |
| Prim Orig Chg Amt | Do the original charge lines have a dollar amount or are they sent as $0? | Encounter Rate Claim Detail Rules window > Primary Electronic Claims section |
| Sec Include Copay Ind | Include Copay in Secondary Electronic Claim | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section (Y/N) |
| Sec ER SIM on the Claim | Do you send the ER SIM on the Claim? | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section (Y/N) |
| Sec Display narr on ER SIM | Secondary Display narrative on ER SIM charge line | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section (Y/N) |
| Sec Pull Narrative Data From | Secondary pull narrative data from field | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section |
| Sec ER SIM Amt | What is the ER SIM Amount? | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section |
| Sec ER SIM Position | Is the ER SIM the first or the last line item on the claim? | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section |
| Sec ER SIM Element | What data element is the ER SIM on the claim? | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section |
| Sec Value Code | What value code is sent on the claim? | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section |
| Sec Orig Chg on Claim | Do you send the original charge lines on the claim? | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section (Y/N) |
| Sec Orig Chg Amt | Do the original charge lines have a dollar amount or are they sent as $0? | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section |
| Sec CAS Reason Cd | Secondary Payer CAS Reason Code | Encounter Rate Claim Detail Rules window > Secondary Electronic Claims section |
| Ter Include Copay Ind | Include Copay in Tertiary Electronic Claim | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section (Y/N) |
| Ter ER SIM on the Claim | Do you send the ER SIM on the Claim? | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section (Y/N) |
| Ter Display narr on ER SIM | Tertiary Display narrative on ER SIM charge line | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section (Y/N) |
| Ter Pull Narrative Data From | Tertiary pull narrative data from field | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section |
| Ter ER SIM Amt | What is the ER SIM Amount? | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section |
| Ter ER SIM Position | Is the ER SIM the first or the last line item on the claim? | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section |
| Ter ER SIM Element | What data element is the ER SIM on the claim? | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section |
| Ter Value Code | What value code is sent on the claim? | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section |
| Ter Orig Chg on Claim | Do you send the original charge lines on the claim? | lEncounter Rate Claim Detail Rules window > Tertiary Electronic Claims section (Y/N) |
| Ter Orig Chg Amt | Do the original charge lines have a dollar amount or are they sent as $0? | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section |
| Ter CAS Reason Cd | Tertiary Payer CAS Reason Code | Encounter Rate Claim Detail Rules window > Tertiary Electronic Claims section |
| Crt Dt | Create Date | Modification Information |
| Created By | Created By | Modification Information |
| Mod Dt | Last Modified Date | Modification Information |
| Modified By | Last Modified By | Modification Information |
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Sorting
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Totals
Use columns to sub-total and total data on the report. Column total options include the following: