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Claim Submission Reason Codes - Registry Setting

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Avatar PM > Billing > Electronic Billing > Electronic Re-Billing Service Assignment

'Y' enables the following selections in the Claim Submission Reason Code field (Electronic Re-Billing Service Assignment form):

  • Original (Admit Through Discharge Claim)
  • Interim (First Claim)
  • Interim (Continuing Claim)
  • Interim (Last Claim)

This field specifies the claim submission reason code for re-billed services.

The latter three codes/values are added to the Claim Resubmission Code Default field and to the Claim Submission Reason Code column in the workscreen grid for re-bill
batches in the Create Interim Billing Batch form.

'N' removes all four of these dictionary codes/values from the field in the Electronic Re-Billing Service Assignment' form and removes the latter three dictionary codes/values from the prompts in the Create Interim Billing Batch form.