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 Post subject: Claim Edit Rules
PostPosted: Fri Oct 06, 2017 6:20 am 
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Joined: Fri Mar 11, 2011 6:59 pm
Posts: 234
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 649 times ]

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Steven Zats
Medical Billing Professionals
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 Post subject: Re: Claim Edit Rules
PostPosted: Fri Oct 06, 2017 6:26 am 
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Joined: Fri Mar 11, 2011 6:59 pm
Posts: 234
Ignore...got it working. Had to get out of RM and back in.

Thanks,
Steve

_________________
Steven Zats
Medical Billing Professionals


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