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Dream Factory by TruBridge Ideas Portal
Status Already Exists
Categories AR | Revenue Cycle
Created by Jennifer Baumgartner
Created on Oct 26, 2023

JB Auto add Contractual to an Item based on insurance

Would like to setup items numbers to be able auto contract off based on insurance or service code and not generate on a claim. Example, Medicare/Medicare Advantage Influenza and Pneumo vaccines are not to be included on a claim and need to be set to auto contract off of the account to reduce biller time on these.

  • ADMIN RESPONSE
    Dec 6, 2023

    To bill claims without specific charges (Influenza and Pneumo vaccines), find the summary code associated to the item, then add the Financial Class for Medicare/Medicare Advantage to the Summary code table page 1, Non_Billable F/C fields.

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  • Jennifer Baumgartner
    Reply
    |
    Dec 18, 2023

    We would like to see it auto add a contractual so that we do not have to manually go into the account and contract it off. This keeps it off the bill but then requires someone to run a report and find these to contract them off.

  • Cheryl Holberg
    Reply
    |
    Dec 5, 2023

    To bill claims without specific charges (Influenza and Pneumo vaccines), find the summary code associated to the item, then add the Financial Class for Medicare/Medicare Advantage to the Summary code table page 1, Non_Billable F/C fields.

    Please see page 92 of attached Insurance document.

    2 replies