Claim Edit Rules

Technical problems with Medisoft.
Post Reply
mbpros
Posts: 249
Joined: Fri Mar 11, 2011 6:59 pm

Claim Edit Rules

Post by mbpros » Fri Oct 06, 2017 6:20 am

I am having trouble creating a custom claim edit rule that works. Basically for one payer I want to make sure that the modifier 1 field of the charges is not empty.

At first I tried to set it up where the Payer ID matched the Payer ID in Medisoft and I indicated also a condition if the Modifier 1 field was blank to return an error. That did not work. So I tried using the Insurance Carrier 1 for the claim and that also did not work (see screenshot of the rule).

I DID tie the rule to the payer and saved it, but when I ran the rule it passed...even though I tested by not having a modifier in the modifier 1 field for one of the charges on the claim.

Help!

Thanks,
Steve
Attachments
ClaimEditRule.png
ClaimEditRule.png (158.96 KiB) Viewed 1203 times
Steven Zats
Medical Billing Professionals

mbpros
Posts: 249
Joined: Fri Mar 11, 2011 6:59 pm

Re: Claim Edit Rules

Post by mbpros » Fri Oct 06, 2017 6:26 am

Ignore...got it working. Had to get out of RM and back in.

Thanks,
Steve
Steven Zats
Medical Billing Professionals

Post Reply