NextGen Knowledge Center

Set Up Claim Edits for Test Results

During the billing process, when a SIM code is set up to create MEA test result segments on electronic 837P claims, but the charge does not have the test date or test result details, then you can activate the claim edits instead of creating a new claim.

  1. Open File Maintenance.
  2. Select Libraries, and then Claim Edits.
    The Claim Edits List window opens.
  3. Double-click the desired library.
    The Claim Edit Library Maintenance window opens.
  4. In the claim edit grid, do the following:
    1. Select the row with the IDs 286 and 287.
    2. In the Severity column, select either Critical or Required for the selected IDs.
      This severity selection prevents the claims from being created when the edit fails.

  5. Select OK.