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Claim Rules
General
Claim Rule: Setting Claim Rule Conditions
Claim Rule Overview and Ordering
Service Grouping Rules
Service Grouping Claim Rules
Service Grouping Rule - Changing Claim Form Type
Service Grouping Rule - Set Service Billing Profile for Current Sequence Payer
Service Grouping Rule - Adding Patient Condition Codes
Claim Line Item Rules
Claim Line Item Rule - Adding Modifiers
Claim Line Item Rule - Adding Rendering Provider Modifiers
Claim Line Item Rule - Using Rendering Provider as Rendering Provider Name and NPI
Claim Line Item Rule - Using Practice Billing Entity as Rendering Provider Name and NPI
Claim Form Rules
Claim Form Rule - Add Occurrence Codes to Institutional Claims
Claim Form Rule - Changing Bill Type Prefix
Claim Form Rule - Change Bill Type Suffix to 0 For Nonpayable
Claim Form Rule - Change Bill Type Suffix to 1 for Admit thru Discharge
Claim Form Rule - Update Bill Type Suffix to 2 for First Interim Claim
Claim Form Rule - Update Bill Type to 2/3/4 for First/Continuing/Last Interim Claim
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