Maintain Canary Claim Groups

Canary claim groups are groups of existing fictional claims you can select when creating a patient list for a model. These groups can then be shared across your organization so that users modeling claims are using the same groups of claims.

The Maintain Canary Claim Group page allows you to add or remove claims or group of claims to your group if you are the group owner (the person who created the group). If you are not the group owner, you can only view the claims currently in the group.

Procedure

Access the Modeling - Maintain Canary Claim Group page.
- Select Go To > Contract Modeling > Canary Claim Group Research. The Modeling - Canary Claim Group Research page opens.
- Click the name of the group you want to review in the Group column. The Modeling - Maintain Canary Claim Group page opens.
If you are the group owner, click a patient number in the Patient Number column to create an additional claim for your group based on a specific claim. The Modeling - UB04 Claim Entry / Rework Screen opens. For more information refer to Create or Update a Canary Claim.
The following options are available in the Functions column:
- Click View in the Functions column to view a representation of the claim form for a specific claim.
Note: This function is available to any user for any group.
- Click Edit in the Functions column to manually edit the claim form for a specific claim. The Modeling - UB04 Claim Entry / Rework Screen opens. For more information refer to Create or Update a Canary Claim.
Note: This function is available to the group owner for manually created groups. It is not available for auto-generated groups.
- Click Replicate in the Functions column to create 2 to 1000 canary claims based on a specific claim to create larger volumes for modeling purposes. For more information, refer to Replicate a Canary Claim.
Note: This function is available to the group owner for manually created groups. It is not available for auto-generated groups.
- Click Charges in the Functions column to add detailed charges to a specific claim. For more information, refer to Add Detailed Charges to a Canary Claim.
This function is available to the group owner for manually created groups, or to any user for auto-generated groups.

Note: If you are the group owner, you can perform the following functions:

Click Add New Canary Claim to manually create a new claim for this group. The Modeling - UB04 Claim Entry / Rework Screen opens. For more information refer to Create or Update a Canary Claim.
- Click Batch Populate Group to create a group of claims for this group. The Modeling - Batch Populate Claim Group page opens. For more information refer to Batch Populate a Canary Claim Group.
- To delete claims from the group, select the check box for each claim you want to delete in the Delete column and click Delete Selected Claims.
  - To select all of the claims currently displayed on the page, select the Select All on Page check box.
  - To delete all of the claims in the group, click Delete All Claims in Group.

Field Descriptions

The following table describes the fields on the Modeling - Maintain Canary Claim Group page. The fields are listed in alphabetical order.

Field	Description
Group Properties
Creation Date	Date the group was created.
File Name	Name of the imported canary claim file.
Group Description	Short description of the canary claim group.
Group Name	Name of the canary claim group. Note: For auto-generated groups, the Group Name is based on the name of the imported file, and it will include a unique time stamp.
Group Notes	Additional notes or details about the group.
Last Modified Date	Date the group was last modified.
Owner	Owner or creator of the group; the owner is the only user that can modify the details of the group. Note: A generic owner is assigned to auto-generated groups so that any user with access to Canary Claim Group Research can access that group.
Total Charges	Total combined charges for all claims included in the group.
Total Claims	Total number of claims included in the group.
Total IP Claims	Total number of inpatient claims included in the group.
Total OP Claims	Total number of outpatient claims included in the group.
Results Area
Admit Date	Date of admission for the account.
Bill Type	Bill type.
Claim Type	Claim type: Inpatient or Outpatient.
Delete	Allows you to select individual claims to delete from your group.
DRG	Specific DRG(s) that appear on the claim.
Functions	The following functions are available: View – Click to view a representation of the claim form for a specific claim. This function is available to any user for any group. Edit – Click to manually edit the claim form for a specific claim in the UB04 Claim Entry / Rework Screen. For more information, refer to Create or Update a Canary Claim. Replicate – Click to create 2 to 1000 canary claims based on a specific claim to create larger volumes for modeling purposes. For more information, refer to Replicate a Canary Claim. Charges – Click to add detailed charges to a specific claim. For more information, refer to Add Detailed Charges to a Canary Claim. Note: The Edit and Replicate functions are not available for auto-generated groups. The Charges function is available to the group owner for manually created groups, or to any user for auto-generated groups.
Patient Number	Patient account number (for UB claims) or insured ID (for CMS-1500 claims) for the claim.
Service From Date	Beginning date of service.
Service To Date	Ending date of service.
Total Charges	Total charges billed for the claim.