PrognoCIS Help: Scrubber Checks: Billing

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Introduction: Scrubber Checks are customized validations that help to evaluate the claims before posting them to Insurance Companies.
From the Scrubber Checks Master screen, the user has provision to define or edit new or existing Scrubber Checks respectively.

Depending upon checks being implemented, the types of alerts on the Claims and Penalty screen are:

Warning (System displays the alerts but allows User to continue further)
Error (System displays the alerts and does not allow User to continue further until the error is rectified)
Update (System auto corrects the problem) – ONLY PrognoCIS implementers are required to apply this function.

Note: Scrubber checks feature is implemented for Insurance Claims only, not for 'Employer' and 'Self Pay' claims.

Properties: This button is exclusively visible to users with Read Access to the Properties Master screen. Access to this button is strategically granted to enhance user functionality. Clicking the Properties button triggers a popup, presenting a list of properties from the Properties Master screen in PrognoCIS that cater to Scrubber Checks on the Billing side.

Field Description

Add button: On click, the Add button opens a new and unsaved Scrubber Checks.

Search button: On click, the Search button opens a popup to search and open an existing Scrubber Check.

*Name: It is the name of the scrubber check defined in the system. This field accepts maximum 50 characters.

Sequence No: By default, system considers the sequence no as ‘1’. User can change the sequence of the scrubber check definition. The value entered in this field decides the position of the scrubber condition while searching from the search binocular. This field accepts upto 3 numeric.

Conditions Table

This table helps define scrubber checks.The Conditions table has eight columns. Based on the option chosen in the Select Type dropdown, the Operands can be selected and checking the checboxes for the open and close parentheses defines the nested conditions for the scrubbers. Here, the and, or logic can be applied.

Select Type: The Select Type drop down is provided with the following options:

Claims
Charge
Insurance
Provider
Patient
Encounter

Depending on the selected Type, the ‘+’ on ‘Field Name’ invokes the following fields/Operands.

No.	Type	Field Names	Description
1.	Claim	Claim - Acute Manifestation Date MM-DD-YYYY	Population of Acute Manifestation Date on Claims →Edit Claims →I button is Validated. Depending on the option selected from the Portal dropdown list on Lab Tests Master screen (Goto menu: Settings → click Configuration) and Hide checkbox on the Lab Result screen, the document would be available for sharing on Portals.
2.	Claim	Claim - Auto Accident Y/N	The type of claim is validated for Auto Accident checkbox on Claims → Edit Claims screen.
3.	Claim	Claim - BU Code	The Business Unit reported on the claim is validated.
4.	Claim	Claim - Capitation Y/N	The Claim type, if used as Capitation is validated using this field.
5.	Claim	Claim - Date Of Service MM-DD-YYYY	Date of Service reported on Claim is validated.
6.	Claim	Claim - DMERC Y/N	DMERC indicator on Patient Insurance Umbrella is validated.
7.	Claim	Claim - Employer Bill Y/N	Bill to Employer Checkbox on Claim →Edit Claims screen is validated using this field.
8.	Claim	Claim - Employer Job Name	Employer Job Name used on Claims → Edit Claims →Case Management popup is validated
9.	Claim	Claim - Employer Name	Employer Name reported on Claims →Edit Claims I button is validated.
10.	Claim	Claim - Employer Job No	Employer Job Number used on Claims →Edit Claims → Case management window is validated.
11.	Claim	Claim - Employer TPA Name	Employer TPA name populated on Claims →Edit Claims screen is validated using this field.
12.	Claim	Claim - Encounter Type	Encounter type reported on Claims →Edit Claims→ I button is validated using this field.
13.	Claim	Claim - EPSDT Error Y/N	EPSDT condition indicator reported on Claims → Edit Claims → I button is validated using this field.
14.	Claim	Claim - Hosp From Date MM-DD-YYYY	Hospital From date reported on Claims →Edit Claims →I button is validated using this field.
15.	Claim	Claim - Hosp Upto Date MM-DD-YYYY	Hospital Upto date reported on Claims →Edit Claims →I button is validated using this field.
16.	Claim	Claim - Illness Date MM-DD-YYYY	First Illness date or Onset reported on Claims →Edit Claims → I button is validated using this field.
17.	Claim	Claim - Injury Date MM-DD-YYYY	Injury Date reported on Claims → Edit Claims →I button is validated using this field.
18.	Claim	Claim - Institutional Y/N	Injury Date reported on Claims →Edit Claims →I button is validated using this field.
19.	Claim	Claim - Last Seen Date MM-DD-YYYY	Last Seen Date reported on Claims →Edit Claims →I button is validated using this field.
20.	Claim	Claim - Last X Ray Date MM-DD-YYYY	Last X Ray Date reported on Claims →Edit Claims →I button is validated using this field.
21.	Claim	Claim - Location Code	Service location reported on Claims →Edit Claims is validated using this field.
22.	Claim	Claim - Location State Code	State Code of Service location reported on Claims →Edit Claims is validated using this field.
23.	Claim	Claim - Other Accident Y/N	The type of claim is validated for Other Accident checkbox on Claims →Edit Claims screen.
24.	Claim	Claim - POS Code	Place of Service Code reported on Claims → Edit Claims is validated using this field.
25.	Claim	Claim - Pre-Authorization No	Authorization Number reported on Claims →Edit Claims is validated using this field.
26.	Claim	Claim - Referral Date - MM-DD-YYYY	Referral Date reported on Claims → Edit Claims →I button is validated using this field.
27.	Claim	Claim - Similar Illness Date MM-DD-YYYY	Date of Similar Illness reported on Claims →Edit Claims → I button is validated using this field.
28.	Claim	Claim - TOS Code	Type of Service reported on Claims →Edit Claims is validated using this field.
29.	Claim	Claim - Bill To Patient Y/N	Self Pay Claims are validated using this field.
30.	Claim	Claim - Marked Send By Paper Y/N	Paper checkbox on Claims → Edit Claims screen is validated using this field.
31.	Claim	Claim - Case - Approved Amount	Approved Amount populated on Case management screen linked to Claims→Edit Claims screen → Case Management is validated using this field
32.	Claim	Claim - Case - Approved Visits	Approved Visit Count populated on Case Management screen linked to Claims →Edit Claims screen →Case Management is validated using this field.
33.	Claim	Claim - Case - Used Visits	Used Visit Count populated on Case management screen linked to Claims → Edit Claims screen →Case Management is validated using this field.
34.	Claim	Claim - Financial Class	Financial Class used on the Claims →Edit Claims is validated using this field.
35.	Claim	Claim - Accept Assignment	Accept Assignment dropdown used on the Claims →Edit Claims is validated using this field.
36.	Claim	Claim - Submitter Type	Submitter Type is a field on Claim's button which decides who the Submitter of the claim is: Rendering Doc, Business Unit or Clinic Owner. The selected entity and it's address is sent in edi claim only and not on printed cms1500. Valid values supported for this operand should be: AD - Rendering Doc, A2 - Rendering Doc with Billing Address, BU - Business Unit, B2 - Business Unit with Billing Address, CO - Clinic Owner
37.	Claim	Billing Provider Type Code	Valid values supported are AD - Rendering Doc, BU - Business Unit, CO - Clinic Owner
38.	Claim	PayTo Provider Type Code	Valid values supported are AD - Rendering Doc, A2 - Rendering Doc with Billing Address, BU - Business Unit, B2 - Business Unit with Billing Address, CO - Clinic Owner
39.	Claim	Claim - Rendering Provider Type Code	There are 2 types of Rendering Providers available on i button of claim in Rendering Provider field: All Rendering Doctors defined in Medics Master and all Organization Providers defined in Organization Provider Master. Certain claims need to be billed with Rendering Doc NPI whereas certain claims with Organizations NPI. Whether correct type of provider is selected or not can be scrubbed before sending the claim now using this operand. The values supported by this operand are: AD - Rendering Doc and ZE - Organization Provider
40.	Claim	Claim - CLIA No	VFor specific Charges of LAB order, it is mandatory to have CLIA associated with Claim. If CLIA is not associated to specific Charge Codes then Claim gets rejected
41.	Claim	Claim - Patient Age in Years on DOS	Patient’s Age in Years is validated with the Date of Service of the Claim.
42.	Claim	Claim - Fee Schedule Name	This field is used to check Exact Match for Fee Schedule Name while validating the claim.Example: When Claim - Fee Schedule Name Not Equal to SelfPay and Patient Type is set to Student then PrognoCIS validates the claim for Error/Warning on Claims screen.
43.	Claim	Claim - Paperwork Send Mode	This field is used to tag Claims with Paper work Send mode selected as FX - By Fax on Claims > I button. Example: If Paperwork send Mode is populated, test code defined in property 837.2300pwk.attachmenttrasmit.testcode gets populated in encounter with value FX then Claim is validated.
44.	Claim	Claim - Any Charge Codes	While coding for Medical Services there are certain Charge Codes which when billed as standalone codes, they result in rejections. With the existing set of operands - Charge Codes and Other charge codes, it becomes difficult to set such scrubber checks. To make it easy to configure for the users a new operand Claim - Any Charge Codes is added.Example: When the charge codes listed below are reported on the claim: 64491,64492,64494,64495 And the charge codes listed below are NOT part of the claim: 64490,64493 Then error messages are displayed and Add On Codes are reported without Primary Service Codes.
45.	Claim	Claim - Clearing House Code	This operand considers the CODE of the clearing house of Claim Insurance with that specified in Scrubber condition. Code of Clearing House as available in EDI_CODE column of MST_EDI_PARTNERS table.
46.	Claim	Claim – Amount	The operand is applicable for all types of claims (Professional/Institutional/Work Comp/Employer/Auto Accident/Self Pay/Penalty Invoice). It validates the Total Billed Amount of a claim with the value configured in Scrubber condition. (BLH_BILL_AMOUNT from TRN_BILLING_HEAD table)
47.	Claim	Claim – Claim Cell 19 Remark	When this scrubber is defined, the system identifies whether the value is present or blank.
48.	Claim	Claim – Pri Resubmission Code	When this scrubbers is defined, the system identifies the value as Original/ Replacement/ Void present for the defined scrubber depending on the available claim conditions added to the scrubber.
49.	Claim	Claim – Sec Resubmission Code	When this scrubbers is defined, the system identifies the value as Original/ Replacement/ Void present for the defined scrubber depending on the available claim conditions added to the scrubber.
50.	Charge	Charge - NDC	For specific Charges of Drugs, it is mandatory to have NDC code associated with Claim. If NDC is associated to Charge Code then Claim gets rejected
51.	Charge	Charge - General Info (CMS flag)	For specific Charges of Drugs, it is mandatory to have NDC code associated with Claim. If NDC is associated to Charge Code then Claim gets rejected
52.	Charge	Charge - Code Description (CMS flag)	When this scrubber is defined, checks if the charge code desciption is present or not.
53.	Charge	Charge - Charge Assigned ICD10 Code	ICD 10 codes reported the Claims →Edit Claims and assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
54.	Charge	Charge - Charge ICD 9 Or 10 For Claim/Ins	ICD 9 OR ICD 10 codes reported the Claims →Edit Claims and assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
55.	Charge	Charge - Charge Pri ICD 10 Code	ICD 10 codes reported the Claims →Edit Claims and First ICD 10 assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
56.	Charge	Charge - Charge Pri ICD 9 Code	ICD 9 codes reported the Claims →Edit Claims and First ICD 10 assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
57.	Charge	Charge - Billed To Ins / Pat	Confirms whether Charge code is Billed to Patient or Insurance. Checkbox Bill to Patient on Claims→Edit Claims screen is validated. Expected values are INS or PAT when this Field is used is scrubber
58.	Charge	Charge - Category	Enables the users to use Charge Categories which are configured on CPT / HCPCS master.
59.	Charge	Charge - Codes	Enables the users to base their scrubbers for a Charge Code, Set of Charge Codes used on Claim.
60.	Charge	Charge – Modifier 1, Charge – Modifier 2, Charge – Modifier 3 ,Charge – Modifier 4	These modifiers can be configured with all available operators to define scrubber conditions where two or multiple modifiers and their sequences are involved.
61.	Charge	Charge - Other Charge Codes	This field is used to validate OTHER Charge Codes used on Claim. It is expected that Both Charge Code and Other Charge code fields are defined on scrubber to ensure correct execution.
62.	Charge	Charge - Other Charge Code Modifiers	The field is used to validate Modifiers defined on other Charge Codes. It is expected that Both Charge Code and Other Charge code fields are defined on scrubber to ensure correct execution.
63.	Charge	Charge - Other Charge Categories	The field is used to validate Category of Other Charge Codes used on Claim. It is expected that Both Charge Code and Other Charge Code fields are defined on scrubber to ensure correct execution.
64.	Charge	Charge - Units Billed	Units of Charge codes reported are validated here.
65.	Charge	Charge - Zero Amount Y/N	Zero $ Bill for a charge code is validated with this field.
66.	Charge	ICD - Charge Assigned ICD10 Code	ICD 10 codes reported the Claims →Edit Claims and assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
67.	Charge	ICD - Charge ICD 9 Or 10 For Claim/Ins	ICD 9 OR ICD 10 codes reported the Claims →Edit Claims and assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
68.	Charge	ICD - Charge Pri ICD 10 Code	ICD 10 codes reported the Claims →Edit Claims and First ICD 10 assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
69.	Charge	ICD - Charge Pri ICD 9 Code	ICD 9 codes reported the Claims →Edit Claims and First ICD 10 assigned to charge codes validated using this field. It is expected that user defines Charge-Codes field in scrubbers as well.
70.	Charge	Charge - Ordering Doc NPI	NPI of Ordering Doctor selected for Charge row on Claims →Edit Claims screen is validated for this field.
71.	Charge	Charge - General Info (CMS flag)	General Info for the CMS flag for a charge code is validated with this field
72.	Insurance	Insurance - Claim Filing Code Medicaid Y/N	Claim Filing code of Patient&’s Primary Insurance is validated for ‘MC’ value defined on Insurance Master.
73.	Insurance	Insurance - Claim Filing Code Medicare Y/N	Claim Filing code of Patient’s Primary Insurance is validated for ‘MB’ value defined on Insurance Master.
74.	Insurance	Insurance - Pri Insurance Type	Type of Patient’s Primary Insurance is validated for this field.
75.	Insurance	Insurance - Pri AR Code	AR Group of Patient’s Primary Insurance is validated for this field.
76.	Insurance	Insurance - Pri AR Code	AR Group of Patient’s Primary Insurance is validated for this field.
77.	Insurance	Insurance - Pri Claim Filing Code	Claim Filing Code of Patient’s Primary Insurance is validated for this field.
78.	Insurance	Insurance - Pri Company ID	Main Insurance defined of Patient’s Primary Insurance is validated for this field.
79.	Insurance	Insurance - Pri Out of Network Y/N	Out of Network checkbox on Patient’s Primary Insurance is validated for this field.
80.	Insurance	Insurance - Pri Payer ID	Professional Payer ID of Patient’s Primary Insurance is validated for this field.
81.	Insurance	Insurance - Pri Subscriber ID	Subscriber ID of Patient’s Primary Insurance is validated for this field.
82.	Insurance	Insurance - Pri Subscriber ID Len	Subscriber ID Length of Patient’s Primary Insurance is validated for this field.
83.	Insurance	Insurance - Sec Insurance Type	Type of Patient’s Secondary Insurance is validated for this field.
84.	Insurance	Insurance - Sec AR Code	‘AR Group’ of Patient’s Secondary Insurance is validated for this field.
85.	Insurance	Insurance - Sec Claim Filing Code	Claim Filing Code of Patient’s Secondary Insurance is validated for this field.
86.	Insurance	Insurance - Sec Company ID	CMain Insurance defined of Patient’s Secondary Insurance is validated for this field.
87.	Insurance	Insurance - Sec Name	Name of Patient’s Secondary Insurance is validated for this field.
88.	Insurance	Insurance - Sec Payer ID	Out of Network Patient’s Secondary Insurance is validated for this field.
89.	Insurance	Insurance - Sec Subscriber ID	Professional Payer ID of Patient’s Secondary Insurance is validated for this field.
90.	Insurance	Insurance - Sec Subscriber ID Len	Subscriber ID Length of Patient’s Secondary Insurance is validated for this field.
91.	Insurance	Insurance - Ter Company ID	Main Insurance defined of Patient’s Tertiary Insurance is validated for this field.
92.	Insurance	Insurance - Ter Insurance Type	Type of Patient’s Tertiary Insurance is validated for this field.
93.	Insurance	Insurance - Ter Name	Name of Patient’s Tertiary Insurance is validated for this field.
94.	Insurance	Insurance - Ter Payer ID	Professional Payer ID of Patient’s Tertiary Insurance is validated for this field.
95.	Insurance	Insurance - Ter Subscriber ID	Subscriber ID of Patient’s Tertiary Insurance is validated for this field.
96.	Insurance	Insurance - Ter Subscriber ID Len	Subscriber ID Length of Patient’s Tertiary Insurance is validated for this field.
97.	Insurance	Insurance – Pri Eligibility in 7 Days Y/N	The following conditions are validated for this field: No Eligibility record is present for Primary Insurance. Eligibility record with status other than A. Eligibility record with status A but IE_ELIG_DOS less than 7 days by DOS. Eligibility record with status A but IE_ELIG_DOS greater than 7 days by DOS.
98.	Insurance	Insurance – Sec Eligibility in 7 Days Y/N	The following conditions are validated for this field: No Eligibility record is present for Secondary Insurance. Eligibility record with status other than A. Eligibility record with status A but IE_ELIG_DOS less than 7 days by DOS. Eligibility record with status A but IE_ELIG_DOS greater than 7 days by DOS.
99.	Insurance	Insurance – Ter Eligibility in 7 Days Y/N	The following conditions are validated for this field: Eligibility Payor id present on Insurance master. Clearing house and Prof Payor id Present/not Present for Primary Insurance but Elig Payor Id is present. No Eligibility record is present for Tertiary Insurance. Eligibility record with status other than A. Eligibility record with status A but IE_ELIG_DOS less than 7 days by DOS. Eligibility record with status A but IE_ELIG_DOS greater than 7 days by DOS.
100.	Provider	Provider - Attending Doc Display Name	Attending Doctor’s Display Name on the Claims →Edit Claims →I button is validated for this field.
101.	Provider	Provider - Attending Doc Last Name	Attending Doctor’s Last Name on the Claims →Edit Claims →I button is validated for this field.
102.	Provider	Provider - Attending Doc NPI	Attending Doctor’s NPI on the Claims → Edit Claims → I button is validated for this field.
103.	Provider	Provider - Billing Doc Display Name	Billing Provider’s Display Name defined for entity selected as ‘Billing Provider Type’ on the Claims →Edit Claims →I button is validated for this field.
104.	Provider	Provider - Billing Doc Last Name	Billing Provider’s Last Name defined for entity selected as ‘Billing Provider Type’ on the Claims →Edit Claims →I button is validated for this field.
105.	Provider	Provider - Billing Doc NPI	Billing Provider’s NPI defined for entity selected as ‘Billing Provider Type’ on the Claims →Edit Claims →I button is validated for this field.
106.	Provider	Provider - Last Seen/Sup Doc Display Name	Last Seen Provider’s Display Name on the Claims →Edit Claims →I button is validated for this field.
107.	Provider	Provider - Last Seen/Sup Doc Last Name	Last Seen Provider’s Last Name on the Claim →Edit Claims →I button is validated for this field.
108.	Provider	Provider - Last Seen/Sup Doc NPI	Last Seen Provider’s NPI on the Claims →Edit Claims →I button is validated for this field.
109.	Provider	Provider - Pay to Doc Display Name	Pay To Provider’s Display Name defined for entity selected as ‘Billing Provider Type’ on the Claims →Edit Claims → I button is validated for this field.
110.	Provider	Provider - Pay to Doc Last Name	Pay To Provider’s Last Name defined for entity selected as ‘Billing Provider Type’ on the Claims →Edit Claims →I button is validated for this field.
111.	Provider	Provider - Pay to Doc NPI	Pay To Provider’s NPI defined for entity selected as ‘Billing Provider Type’ on the Claims → Edit Claims →I button is validated for this field.
112.	Provider	Provider - Referring Doc Display Name	Referring Provider’s Display Name on the Claims → Edit Claims →I button is validated for this field.
113.	Provider	Provider - Referring Doc ID	Referring Provider’s ID on the Claims →Edit Claims →I button is validated for this field.
114.	Provider	Provider - Referring Doc Last Name	Referring Provider’s Last Name on the Claims →Edit Claims →I button is validated for this field.
115.	Provider	Provider - Referring Doc NPI	Referring Provider’s NPI on the Claims → Edit Claims → I button is validated for this field.
116.	Provider	Provider - Rendering Doc Display Name	Rendering Provider’s Display Name on the Claims → Edit Claims →I button is validated for this field.
117.	Provider	Provider - Rendering Doc Last Name	Rendering Provider’s Last Name on the Claims → Edit Claims →I button is validated for this field.
118.	Provider	Provider - Rendering Doc NPI	Rendering Provider’s NPI on the Claims →Edit Claims → I button is validated for this field.
119.	Provider	Provider – Operating Doc (UB04)	When this scrubber is defined, the system identifies the available Patient Operating Provider conditions added to the scrubber.
120.	Encounter	Encounter - Encounter Type	Encounter Type Code selected for the claim is validated for this field.
121.	Encounter	Encounter - Copay Payment Amount	The system identifies the value if Greater or Less than the mentioned numeric value added to the operand - Copay Receipt Amount.
122.	Encounter	Encounter - Copay Amount	The system identifies the value if Greater or Less than the mentioned numeric value added to the operands - Copay Amount.
123.	Encounter	Encounter - Copay Deductible Amount	The system identifies the value if Greater or Less than the mentioned numeric value added to the operands - Copay Deductible Amount.
124.	Encounter	Encounter - Copay Visit/Selfpay Amount	The system identifies the value if Greater or Less than the mentioned numeric value added to the operands - Copay Visit/Selfpay Amount.
125.	Encounter	Encounter - Copay Advance Amount	The system identifies the value if Greater or Less than the m entioned numeric value added to the operands - Copay Advance Amount.
126.	Encounter	Encounter - Copay PatOsPay Amount	The system identifies the value if Greater or Less than the mentioned numeric value added to the operands - Copay PatOsPay Amount. For the Copay Remark the system identifies whether the value is blank or not blank.
127.	Encounter	Encounter - Copay Remark	For the Copay Remark the system identifies whether the value is blank or not blank.
128.	Encounter	Encounter - Reason for Visit	The following Operators can be used: Greater Than, Greater Than Equal To, Less Than, Less Than Equal To, Equals, Not Equal To, Starting With, Contains, In Comma separated List, Not In Comma separated List, Range : separated, Not in Range : separated, Is Blank, Is Not Blank.
129.	Patient	Patient - Age in Days Today	Patient’s Age as of Date of Service is validated for this field.
130.	Patient	Patient - Patient Type	Patient’s Type selected on Patient Registration →Other Info tab is validated for this field.
131.	Patient	Patient - Age in Years Today	Patient’s Age in Years is validated for this field. Example: The age could be defined as 52.2 indicating 52 years and 2 months then it will round off the age and consider it as 52.
132.	Patient	Patient - Sex	Patient’s Gender selected on Patient Registration is validated for this field.
133.	Patient	Patient - Employer	Patient’s Employer Name selected on Patient Registration →Contacts tab is validated for this field.
134.	Patient	Patient - Attorney	Patient’s Attorney Name selected on Patient Registration → Billing Info tab is validated for this field.
135.	Patient	Patient - Financial Class	Patient’s Financial Class selected on Patient Registration →Billing Info tab is validated for this field.
136.	Patient	Patient – Patient Chart No.	When this scrubber is defined, the system identifies the value as Contains depending on the available patient chart no. conditions added to the scrubber.
137.	Patient	Patient – Billing Info Self-pay Y/N	When this scrubber is defined, the system identifies the Billing Info, if the billing is Self pay.

Del checkbox: Selecting the checkbox would delete the selected scrubber condition.

Opening parenthesis - ( : Parentheses help to define set of condition in one expression. Example: ((A+B)-C)/10.

Type: This column displays the corresponding ‘Type’ value of the selected Operand/Field.

Field Name: Click the + button to add the actual name of the selected object.

Operator: The list of supported operators are as follows:

Greater Than
Greater Than Equal To
Less Than
Less Than Equal To
Equals
Not Equal To
Starting with
Contains
In Comma separated List
Not In Comma separated List
Range : separated
Not in Range : separated
Is Blank
Is Not Blank

Note: The list of operator varies depending upon the data type of the selected field.

Value: User can specify the value relevant to the objects. The specified value is used for comparison.

Closing parenthesis - ) : This is closing the parenthesis.

Logic: The logical operators are AND or OR conditions.

On Validation: Select the appropriate validation that has to be displayed on the Claims and Penalty Invoice screen.

Warning (System displays the alerts but allows User to continue further).
Error (System displays the alerts and does not allow User to continue.
Update (System auto corrects the problem) – ONLY PrognoCIS implementers are required to use this function.

Message: Enter the message which you wish to display when validation conditions is TRUE. This field accepts maximum 255 characters.

Include SelfPay: If this checkbox is checked, the scrubber condition will get applied when the Claim is ‘Billed’ to Insurance, Patient and Employer.If this checkbox is unchecked, the scrubber condition will get applied when the Claim is ‘Billed’ to Insurance and Employer.

Active: Select the checkbox, to mark the scrubber condition as active. Only Active scrubber checks definitions are displayed in search list.

Action Buttons:

save: Click the save button, it will save the scrubber condition.

delete: Click the delete button; it will delete the desired scrubber condition.

reset: Click the reset button, to reset the desired scrubber condition.

save as…: Click the save as... button, to save a copy of the file with other name.

history: Click the history button invokes Scrubber History popup to check the last modified details of the Logged in user on the Scrubber Check screen.

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