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Use this task to create a denial assignment rule for denied payments.

If a payment denial does not meet the criteria of one of the assignment rules, it will not be assigned to Collections.

Step-By-Step Guide

Step

Instructions

Additional Information

1

From the Collections Admin / Denial Collections tab, click the Denial Assignment sub-tab.

 
2

From the Denial Assignment sub-tab, click Add. The Add Denial Group Assignment window opens.


 
3You will define the criteria for any payment denial:
  1. Open the Practice drop down list and select a practice.
  2. Open the Denial Group drop down list and select the denial group.

  3. (Optional) Open the Payer drop down list and select a payer.
  4. (Optional) Open the Plan drop down list and select a plan.

Only Denial Groups assigned to the selected Practice are available for selection in the Denial Group drop down list.

  • Associations of Practices to Denial Groups are created on the Denial Groups sub-tab.
4Set the assignment rules for any payment denial that meets the defined criteria:
  1. Open the Collector / Group drop down list and select the collector or collector group to assign the payment denial.
  2. (Optional) Open the Action/Series drop down list and select an action or action series to create and assign to the Collector or Collector Group.
 
5

Click Save (or Save & Add Next to add additional assignment rules).

 

 

 

 

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