Customizing Claim Edit Checks and Rules Flashcards
True or false: LPPs reside in Type 3 edit rules
False (claim edit checks)
True or false: Components are lists of categories of items that can be used by claims to build claim edit checks and other claim-related extensions
True
CMP
True or false: Each component is associated with a single component record type
True, and the record type is record..
ie–record type of px.
Define a component group
A component group allow components to be used in combination with other components to more fully define a service.
CMG stores a record for each component group you define.
True or false: Extension records are typically created by Epic, but many extensions can be copied and modified.
True
What is the relationship between Rules, Equations, Properties, Operators, and values?
A rule Is made up of one or more equations.
Equations are made up of properties, operators and values.
True or false: Is it possible to have multiple equations together in one rule?
True
What can the claim edit rules usage report do?
Generates detailed information on your claim edit rules that are currently plugged into a CDF, including where the rules are used, and basic rule information such as criteria, criteria relationships, and error messages
This report only includes rules created in the rule editor–not extensions*
True or False: You can add or remove multiple claim edit checks or rules to multiple CDFs at the same time through the use of Claim Definition Manager
True
Epic>PB admin>Claims Admin>Claim definition manager
True or False: All type 3 edits must be copied and modified before use in the CDF
False, most standard can be used without modifying.
When using component groups, if 2 conditions are created for a single component groups what is the effect
Either condition must be met
