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


  1. Navigate to Management Center > Claim Rules
  2. Click "Create Claim Form Rule".
  3. Select the practice.
  4. Name the claim rule.mceclip0.png
  5. Set Claim Type to Institutional.
  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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