Box 71 - PPS Code

Box Definition

Box 71 is used to display the Diagnosis Related Group (DRG) Codes, generally only required when under contract with a health plan using DRG codes.


In AveaOffice

To update Box 71 in AveaOffice:

  1. Navigate to Management Center > Claim Rules
  2. Select Create Claim Form Rule.
  3. Select the Practice.
  4. Name the rule.
  5. Select Claim Type Institutional.
  6. Select your conditions. (Primary Behavioral Payer and HCPCS/CPT Code may be sufficient for your rule.)
  7. Select behavior (DRG Code)
  8. Click Add
  9. Enter in the DRG code.
  10. Click Create.


EDI Loop/Segment

Loop 2300, Segment HI01-2

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