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How to Use It: In Billing > Insurance Providers, locate the new "Admit to Discharge" field under the Last Type of Bill section for both Inpatient and Outpatient areas. Enter the 4-digit TOB code specific to your payer’s requirements. This configured code will automatically apply to all claims that encompass services from admission to discharge, ensuring accurate claim coding for UB04 submissions.
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What’s New: Billing configuration specialists can now populate and edit Box 40 on UB04 forms, similar to the existing functionality for Box 39. This new section under the Service Business Rules enables users to configure value codes, enhancing claim submission flexibility and ensuring compliance with payer requirements.
Why It Matters: By providing control over Box 40, this update ensures that claims can be tailored to meet specific submission standards, particularly for GHR and other organizations using Office Ally and Waystar. This improves claim accuracy and supports seamless claim processing through these clearinghouses.
Who It’s For: Billing configuration specialists, particularly those working with GHR, who need to configure and submit UB04 claims with tailored value codes.
How to Use It: Navigate to the Service Business Rules section. Under Value Codes - Box 39, you’ll now find a new section labeled Value Codes - Box 40. Use this section to add Type, Code, and Value as needed for Box 40 on UB04 forms. Additionally, Box 40 can be manually edited if adjustments are necessary before submission.
Enhanced LOA Handling for Census and Billing at Midnight
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