Adding an Associate Max Units/Max Dollar Threshold

To add an associated maximum unit or dollar threshold:

  1. From the Reference tab menu, select the Proc/Svc List Code hyperlink.

The system displays the Proc/Svc Codes page.

  1. From the Filter By drop-down menu, select a filter, enter a search term in the adjacent text box (a required field), and click Go.

For example, from the Filter By drop-down list, select Description and enter a full search term or partial search term with the wildcard character (%) in the adjacent text box, and click Go.

The system displays an updated Proc/Svc Codes page with records that match the filter criteria you entered.

  1. Select the hyperlink under the Proc/Svc Code column for the code you want to view.

The system displays the Proc/Svc Details page.

  1. Select Proc/Svc Associations from the Show menu.

The system displays the Proc/Svc Associations page.

  1. Select the Add button above the Associated Max Units/Max Dollar Threshold section.

The system displays the Add Max Units/Max Dollar Threshold dialog.

  1. Select the program from the Program drop-down.

The system refreshes the dialog and populates the Claim Type drop-down with options for the program you selected.

  1. Select the claim type from the Claim Type drop-down.

  2. Select the modifier from the Modifier drop-down (optional).

  3. From the Max Unit Type drop-down, select whether this is a max units or max dollar threshold.

  4. Enter the maximum units or dollars in the Max Units/Dollar Threshold field.

  5. Select the age range from the Age Ranges drop-down.

  6. Enter dates for the Start Date and End Date fields.

  7. Select OK.

The system saves the new code with a status of “In Review” and exits the dialog back to the Proc/Svc Associations page.

  1. To view the added max units/max dollar threshold in the Associated Max Units/Max Dollar Threshold section, select Status from the Filter By drop-down, type “In Review” in the adjacent search field, and click Go.

The system displays the list of maximum units/dollar thresholds that are in “In Review” status including the threshold you just added.