Claim Form Rule - Resubmission Code

  • Updated

What claim change is needed?

Add resubmission codes on the CMS-1500 claim form.

Box Number

UB-04: N/A

CMS-1500: Box 22 - Resubmission Code/Original Ref. Number

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 to Professional.
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  6. Set conditions for the claim rule to meet.
  7. Under available behaviors, select "Resubmission Code".
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  8. Click "Add".
  9. Enter the resubmission code.
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  10. Save.

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