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Overview

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The Case Error Check / Rules Rules Configuration tab is is used to view and map your full Eligibility payer list of TriZetto payers and their corresponding payer mappings. Eligibility requests are sent through the TriZetto clearinghouse. If you do not use the TriZetto clearinghouse, it will be necessary to map your clearinghouse payers/plans to a TriZetto Payer ID in order to use this functionality.

The tab also provides a quick view of which payers require additional enrollment

manage your Case Error Check rules. It allows you to update the rules, changing them from an 'Error' to a 'Warning' (and vice versa). Additionally, all rules can be set to 'Active' or 'Inactive' from this page, determining if the rules should be included when executing a Case Error Check.

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title	How to Get Here?

From the Home Page:	From the Menus:
Click Case Error Check from the Admin list	Open the Admin menu and select Case Error Check

Field Definitions

Field	Type	Required	Description
Filters	Filter	No	Allows the list of Error Check Rules to be filtered by Type, Status and Message. As you type , the payers and plans in the list are in the free text Message filter , the messages (rules) in the list are filtered to show only those that match what was typed. To restore the list to all payers and planserrors, clear the contents of the filters.The Show Inactive checkbox allows you to display or hide inactive payers and plans. The checkbox defaults to checked; inactive payers and plans are not displayed unless the box is checked.
Error Code	Display Only (Pulled from system generated/created Case Error Rule)	YesAny designation your practice deems useful in identifying accounts based on common characteristics (examples could include Bankruptcy, Deceased, Inactive, and Lien).	The system-assigned, unique error code for each error.
Error Message	Display Only (Pulled from system generated/created Case Error Rule)	Yes	The list of practices in Connect and association checkboxes. A checked box next to a practice indicates the account status value is available for use on the account. An unchecked box indicates the account status value is not available for use on the account.message text of the error message.
Type	Display Only (Pulled from Case Error Rule)	YesAdd	To designate the rule type. Values include: Error Warning
Active	Checkbox	NoAdd	To designate if the rule is active and included in Case Error Checks. If the Active checkbox is selected, it is included and checked when a Case Error Check is being executed.

Button Descriptions

Button	Shortcut Keys	Description	Step-By-Step Guides
Update	[Alt] + [U]	To update a case error check rule configuration.	Updating Case Error Rules
Show Audit Trail	Not Applicable	To view the audit trail of changes made to Case Error Rules.	Select the case error rule for which you would like to review the audit trail. Click Show Audit Trail. The Audit Trail window for the error code opens. Information for Field updates, values Before and After the change, and which user/when the change was made are displayed.