Claim Attachments

Question 1

What can Claim Attachments be used for?

Answer 1

Accident claims
DME claims
Some anesthesia claims
Claims where we except more reimbursement than usual (with an attached modifier)

Question 2

Claim attachments can be required by the use of creating a rule with what context?

Answer 2

Claim Attachment Generation

Question 3

The claim attachment rule can be plugged in where? (3 possible places) and in what screen?

Answer 3

In the rule column on the Claim Attachment Configuration
Service Area
Payor
Benefit Plan

Question 4

True or False: It is possible to have both a report-based and an ANSI 275-based attachment generated on the same line.

Answer 4

False; It is not possible.
You will need to build each attachment on its own line.
The rules on all rows get evaluated for all revenant claims

Question 5

Define was an ACN Attachment Control Number does

Answer 5

Is how the payor will now what attachment goes with each claim. By matching the ACN’s on each piece.

Question 6

When working with claim attachments in a claim edit WQ, what security point or points allows the user to edit a claim attachment? This user should NOT be able to force any claims with errors

Answer 6

201-MAY edit claim attachment (inverse condition) which does not allow force resubmission

Question 7

When modifying extension 70551, why is the ACN format parameter important?

Answer 7

It controls how the attachment control # (ACN) will be generated.

Question 8

True or False: It is possible to use the standard extension 70551 in a SA, payor, benefit plan record

Answer 8

False, You must copy and modify this extension before plugging it into a record. (otherwise there will be no ANC format)