Charge Management Rules and Actions
Charge Management Action Examples
Add a Legacy ID in HCFA Box 33b for a Secondary Payer Scenario: BCBSTX is Primary and MagnaCare is Secondary. MagnaCare wants a Legacy ID in Box 33b on the HCFA (Paper Claim), but the Primary, BCBSTX, does not require this. Criteria Select ...
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 ...
Charge Management Actions
Release 4.8 Some Payers require different information on a Claim that other Payers do not require. Some of those changes can be accomplished using the Charge Management Update panel on the Add/Modify Charge Management Rule screen. The change occurs ...
Charge Management Rules
Using the Charge Management Rules, create Validation Rules to catch common errors before Claims are sent to the Payer. These Rules are customizable to suit the specific needs of your practice. Using these rules can reduce the amount of rejected ...