Box 10a, 10b, 10c - Is Patients Condition Related To:

Box Definition 

Boxes 10a, 10b, and 10c indicate whether the Patient's condition is related to employment, an auto accident, or another type of accident. 

In Kipu RCM

The RCM requires that accident information be added to the patient's profile and that a claim rule be created to ensure the information is added to the claim. To add this information, use the steps below:

1. Navigate to Patient > Treatment Episodes > Intake.
2. Next, click Edit.
   
3. Then scroll down to the accident information and enter the information for the following fields:
   • Accident Type
   • Accident Date
   • Accident State
     
4. And click Save.
   
5. Finally, create a Service Grouping Rule to complete the process.

EDI Loop and Segment

• Employment - Loop 2300, CLM11-1
• Auto Accident - Loop 2300, CLM11-2
• Other Accident - Loop 2300, CLM11-3
• Auto Accident State - Loop 2300, CLM11-4

 For additional information on loops and segments, click here.