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Charge Management Rule Examples
Alert for Provider Credentialing There is a System delivered Charge Management Rule to display a Validation Warning for Providers who are not yet Credentialed with a Specific Insurance. Use this link for more detailed documentation: Hold Billing for ...
Worklist Suggestions & Examples
Appointment Missed Appointment Fee: Added by Front Desk user for biller to add a No Show Fee. Workers Comp: Authorization missing Eligibility Denials Authorizations Encounters Manual Insurance Denials Eligibility Denials Authorizations Missing ...
Rejections Examples
Rejection: Invalid Subscriber ID Format for ___ Resolution: From the Patient Dashboard, verify Eligibility, view the Eligibility Report, view the Patient's Scanned Insurance Card, and/or call the Patient. Correct the Policy Number. On the Encounter ...
Worklist Filters
Filters Options on the Worklist screen Total By & Subtotal By: Use these filters along with the Type filter to create multiple views of the Worklist. (Worklist Total By Option below) Type: Works in conjunction with Total By & Subtotal By. Worklists ...
Create a Worklist
Worklists can be used to work Tasks and specify the Users to work the Tasks. Worklists can be created from the Worklist screen. Tasks can be added to a Worklist from multiple areas in the System. Examples: Patient Dashboard Encounter Dashboard Query ...