Unbundle Service Item Codes by Payer

You can unbundle (not group the same service items together as multiple units) Service Items Codes by payer or by practice. This option is available to accommodate payers who do not want to be billed with multiple units of the same service item; they prefer each service item listed separately, each with a unit of one. When SIMs are set to unbundle, separate charge lines generate. You can prevent SIM bundling:

• for all payers in a practice.
• of all SIMs for a specific payer.
• for a specific SIM and payer combination.

When you prevent bundling, multiple identical charge lines are prevented from being combined on one line and summed on the paper claim. The identical charges display on separate lines on the paper HCFA 1500 claim or are entered individually in an electronic send file. When the check box is cleared (the application default), the application sums identical line items and indicates multiple units for billing on a paper HCFA 1500 or in an electronic send file.