The Service Lines section displays information regarding to the various service providers on a line level. This section includes information on the following:
Click Add Line to add service line details to the table. This also populates the additional tabs at the bottom of the screen. Once a line is added, the user can select a line to copy and click Copy Line. This creates an exact duplicate of the current line and populates it after the last service line in the claim. A prompt displays asking the user whether to copy the line level detail. If yes, the entire line with service line details is copied. If no, only the line level detail is copied – no service line detail information is copied. When a user saves or copies a service line and saves the claim, the system moves the service line to the correct order by Revenue Code and DOS.
The Claim Info fields are defined below:
Total Claim ChargesTotal Claim Charges
The total of all procedures charged on the claim.
Total Non-Covered ChargesTotal Non-Covered Charges
The amount of charges not covered by the payer.
Patient Estimated Amount DuePatient Estimated Amount Due
Estimated amount that is due from the patient.
Service Line Details: This section displays the claim service line items after adjudication. Any adjustments to the claim amount versus the amount paid are detailed here. The information on this screen comes from an 835 Remittance Advice returned by an insurer/payer.
Classification of hospital charges in a standard grouping controlled by the National Uniform Billing Committee (NUBC).
Product/Service (Procedure) Code Qualifier. Options are:
| HC | Health Care Financing Administration Common Procedural Coding System (HCPCS) Code |
| HP | Health Insurance Prospective Payment System (HIPPS) Skilled Nursing Facility Rate Code |
HCPCS codes are always five (5) characters in length.
Procedure Modifier 1-4Procedure Modifier 1-4
Identifies special circumstances related to the performance of the service, as defined by trading partners.
Start of service dates for treatment or service listed on this service line.
Ending date of service for the treatment or service listed on this service line.
Units of MeasureUnits of Measure
Code to specify the units in which the value in the Units field is being expressed. Options are:
| MJ | Minutes - required for anesthesia claims |
| UN | Unit |
| F2 | International Unit (dosage, drug only) |
Quantity of the product or service listed in this service line.
Dollar value of the charge for the product or service listed in this service line.
Non-Covered ChargesNon-Covered Charges
The amount of charges not covered by the payer.
NOC Code DescriptionNOC Code Description
Not Otherwise Classified procedure code description.
Click the Service Line Details link to display the section menu. Click the desired section name to display the fields to the right of the menu. Enter the information in the Service Lines Details fields and click Save in the tool bar. The entered data populates in the table. A message displays if a change is made to the service line, but the user deselects the line without saving. Click OK to continue. Click Delete to remove a service line. Ten (10) lines display at a time, but up to 999 service lines can be added. An alert message displays if the user attempts to add more than 999 service lines. If a claim is imported with more than 999 service lines, it is errored for exceeding the line limit for institutional claims.
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