Claim Line Item Rule - Adding Modifiers

  • Updated

What claim change is needed?

Add modifiers to the UB-04 and CMS-1500 claim forms.

Box Number

UB-04: Box 44 - HCPCS/Rate/HIPPS Code

CMS-1500: Box 24d - Procedures, Services, or Suppliers

Steps

  1. Navigate to Management Center > Claim Rules
  2. Click "Create Claim Line Item Rule".
  3. Select the practice.
    mceclip0.png
  4. Name the claim rule. mceclip1.png
  5. Set Claim Type to "Professional" or "Institutional".
    mceclip2.png
  6. Set Conditions for claim rule to meet.
  7. Under Available Behaviors, select "Add Modifier". mceclip3.png
  8. Enter modifiers in the text box
  9. Click Create.

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