| If you change the BCode and that BCode requires illness tracking. |
You are prompted to check if you should link a referral to the line item if one isn't already linked. |
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| As you select the Linked Illness for Line 1, you'll be prompted to apply the selection to all claim lines. This will only apply one time to the existing lines. If lines are added later, the illness from the first line won't be applied to the additional lines. |
Link this illness to all other claim lines?
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Select Yes to link the illness to any additional claim lines or No the illness will not be linked to any additional claim lines.
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| The Procedure Date (Line workspace) is greater than the Benefit Code illness time limit. |
The Procedure Date on the claim line exceeds the Illness Time Limit. Do you want to use this illness? |
Select Yes to retain the illness link or No to remove the link. |
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The illness Incurred Date (Line workspace) is greater than the Procedure Date (Line workspace) (Institutional and Professional).
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The Illness Incurred Date is greater than the Procedure Date on the claim line. Do you want to use this illness?
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Select Yes to retain the illness link or No to remove the link.
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The illness Incurred Date (Line workspace) is greater than the From Date (Line workspace) (Dental).
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The Illness Incurred Date is greater than the From Date on the claim line. Do you want to use this illness?
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Select Yes to retain the illness link or No to remove the link.
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The illness From Date is greater than the illness time limit. The illness time limit is set on the BCode at the schedule level.
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The From Date on the claim line exceeds the Illness Time Limit. Do you want to use this illness?
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Select Yes to retain the illness link or No to remove the link.
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| You select another BCode (Line workspace) or remove one, and illness tracking is isn't setup on the BCode, the illness is unlinked automatically. |
Illness (Diagnosis Code, Description, Incurred Date, Operator) has been unlinked from this claim line.
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No action required. |
| An illness is unlinked automatically. |
Illness (Diagnosis Code, Description, Incurred Date, Operator) has been unlinked from this claim line.
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No action required. |
| Both the illness and the admission are unlinked. |
An Admission and an Illness have been unlinked from this claim line.
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No action required. |
P121 (Benefit Code Illness Review) pend code. Happens when the admission tracking flag for the BCode is set to Y. |
Benefit Code Illness Review
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Determine if you should link an illness for this benefit. |