This article helps to guide admins through the process of customizing the billing logic applied to Medicaid billing submissions.
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Note: This feature is permissions based. Please contact your system administrator if you require access to these features.
1. Indicate which claim rules you would like to enable by selecting "Yes" from the dropdown.
2. Click the "Submit" button when finished.
Note: Logic for the Non-Calendar Day filter is directly tied to the calendar in Illuminate. You will need to setup your calendar or all claims will be rejected. This must be done by building. If you need assistance, please contact your Customer Success Manager for help setting up your calendar. In addition, the logic for the Non-School Day: Holiday filter is directly related to federally recognized holidays. If this filter is flagged as "Yes" all encounters logged on any federally recognized holidays will be rejected.