Claim Form Rule: Adding or Removing CLIA Number

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What claim change is needed?

Add the facility's Clinical Laboratory Improvement Amendments (CLIA) number to the CMS-1500. To add the CLIA number to the facility, use the guide in Manage Facilities.

Box Number

UB-04: n/a

CMS-1500: Box 23

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. mceclip3.png
  5. Set Claim Type to "Professional".
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  6. Set Conditions for claim rule to meet.
  7. Under Available Behaviors, select "Facility - CLIA Number". mceclip0.png
  8. Click Add. 
  9. Select "CLIA Number - Require and Write"mceclip1.png
  10. Click Create.

Related Articles

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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