Add or Remove Accident Type

This rule instructs the system to include or omit the Accident Type from the claim. For information on how to configure the accident type, click here. 

Workflow

Let's review how to create a claim rule to add the Accident Type to a claim! 

1. Navigate to Management Center > Claim Rules.
   
2. Click Create Claim Claim Form Rule.
   
3. Select the Practice.
   
4. Next, give the rule a name.
5. Update the Claim Type to Professional.
   
6. Select Conditions to create criteria a claim should meet before the rule will apply.
   
7. Next, click on the Behaviors dropdown.
   
8. Select Accident Type.
   
9. Next, click Add.
   
10. Update the dropdown to one of the following options:
    
    1. Omit to create the claim without the facility taxonomy. 
    2. Require and Write to Claim to always include the facility taxonomy.
11. To create multiple behaviors, repeat steps 7-10.
12. Click Save to complete the process.
    

Box Number(s)

• UB-04: N/A
• CMS-1500: Box 10a/b/c - Is Patient's Condition Related To?: 

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.