Allow for Multiple Dates Per Claim

This rule allows for the creation of a new claim with multiple dates of service without needing to reconfigure the service billing profile.

Workflow

Let's review how to create a claim rule that allows multiple services on a claim!

• 1. Navigate to Management Center > Claim Rules.
     
     
  2. Click Create Service Grouping Rule.
     
  3. Select the Practice.
     
  4. Next, give the rule a name.
     
  5. Select Conditions to create criteria a claim should meet before the rule will apply.
     
  6. Under Service, update the dropdown with the service you want the rule to apply to.
     
  7. Next, under Set Values, click Set Allow Multiple Dates Per Claim To.
  8. Update the toggle to Yes.
     
  9. Click Save to complete the process.
      

Box Number(s)

• UB-04: Box 45 - Service Date
• CMS-1500: Box 24a  -Service Lines

Helpful Hints

• If one of your conditions is payer-based, select Current Sequence Behavioral instead of the Primary Behavioral Payer. This will ensure the rule applies to secondary and tertiary claims when needed. 
• 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.