Claim Form Rule - Changing Bill Type Prefix

  • Updated

What claim change is needed?

Update the claim bill type prefix on the UB-04 claim form.

Box Number

UB-04: Box 4

CMS-1500: N/A

Steps

  1. Navigate to Management Center > Claim Rules
  2. Click "Create Claim Form Rule".
  3. Select the practice.
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  4. Name the claim rule.mceclip0.png
  5. Set Claim Type to Institutional.
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  6. Set conditions for the claim rule to meet.
  7. Under Available Behaviors, select Bill Type Prefixmceclip2.png
  8. Click add
  9. Enter the Bill Type Prefix
  10. Save

Related Articles

Box 4 - Type of Bill

To read more about how to set claim rule conditions and order, see the Claim Rule: Setting Claim Rule Conditions article.

To read more about how to set up a claim rule to be effective as of a certain date, see the Scheduled Change Sets article.

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