Claim Form Rule - Omit Service Line Note

  • Updated

What claim change is needed?

The Service Line Note needs to be omitted from the Claim Form.

Box Number

UB-04: N/A

CMS-1500: Box 24

In AveaOffice

Let's review omit the Service Line Note from Professional claims.  

  1. Navigate to the Management Center > Claim Rules and select Create Claim Form Rule.
  2. After you have set the Conditions of the Claim Form Rule, update the Claim Type to Professional.
  3. Open the drop-down next to Available Behaviors, select Claim Form Service Line Note, and click Add.
  4. In the drop-down next to the behavior, select Omit.
  5. Next, scroll down and select Create.

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