Claim Form Rule - Add or Remove Patient Admit Date

  • Updated

What claim change is needed?

Adding or removing the patient Admit Date from the claim form.

Box Number

UB-04: Box 12

CMS-1500: Box 18

Steps

  1. Navigate to Management Center > Claim Rules.
  2. Select "Create Claim Form Rule".
  3. Select the practice.
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  4. Name the claim rule.
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  5. Set the Claim Type.
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  6. Set conditions for the claim rule to meet.
  7. Under available behaviors, select "Patient - Admit Date".
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  8. Click "Add".
  9. Select "Write to Claim".
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  10. Save.

 

Related Articles

Treatment Episodes

Box 12 - Admission/Start of Care Date

Box 14 - Admission Type

Box 15 - Admission Source

Box 18 - Hospitalization Dates Related to Current Services

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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