Use this task to update 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, select the denial assignment window to be modified.

 
3

Click Update. The Update Denial Group Assignment window opens.

Update the relevant information via the applicable steps below...

 
4You 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.
5Set 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.

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

  • Associations of Practices to Collector Groups are created on the Collector Groups sub-tab.
  • Associations of Practices to Collectors are created via user permissions.

Only Actions/Action Series assigned to the selected Practice are available for selection in the Action / Series drop down list.

  • Associations of Practices to Actions/Action Series are created on the Actions & Action Series tab.
6

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

 

 

 

 

Related Topics

Collections Admin

Actions & Action Series Tab

Collector Groups Tab

Guarantor Collections Tab

Insurance Collections Tab

Denial Collections Tab

Pre-Collections Tab

External Collections Tab

Collection Letters Tab

Collection Letter Page

Creating Actions

Creating Action Series

Updating Actions / Action Series

Creating Denial Assignment Rules

Creating External Collection Assignment Rules

Updating External Collection Assignment Rules

Creating Collection Letters

Updating Collection Letters

Deleting Collection Letters

Previewing Collection Letters

Related Training/Support Documentation

Not applicable for this topic

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