Claim Form Rule - Adding or Removing Patient Admit Hour

  • Updated

What claim change is needed?

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

Box Number

UB-04: Box 13 - Admission Hour

CMS-1500: N/A


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


Related Articles

Treatment Episodes

Claim Form Rule - Adding or Removing the Patient Admit Type

Box 12 - Admission/Start of Care Date

Box 14 - Admission Type

Box 15 - Admission Source

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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