Allow for Multiple Services

This rule can be used to allow for multiple services upon the creation of a new claim without reconfiguring 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. Next, under Set Values, click Set Allow Multiple Services Per Claim To.
  7. Update the toggle to Yes.
     
  8. Click Save to complete the process.
      

Box Number(s)

• UB-04: Box 42 - Service
• CMS-1500: 24d - Procedures, Services, or Suppliers 

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.