Threshold Rules Conflicts and Messages

You can create multiple threshold rules for a program with the same effective and expiration dates. However, the descriptions cannot be the same. When you add or modify a threshold rule with an Effective Date and Expiration Date range that overlaps with another rule, and the Description also matches the other rule, the following prompt displays:

Effective/Expiration dates overlap with: [Threshold Rule Description].

You can create multiple threshold rules for a program with the same effective and expiration dates and payer. However, the SIM codes cannot be the same or left blank. When you add or modify a threshold rule with an Effective Date and Expiration Date range that overlaps with another rule, and the Valid Payer and a Program SIM also match the other rule, the following prompt displays:

Please select Valid SIMs from available Program SIMs. Threshold SIMs must be unique per payer row. You cannot have a row with identified SIMs and a blank row at the same time.