Replicate a Canary Claim

Canary claims are fictional claims assigned to a canary claim group 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 Replicate Canary Claim page allows you to create 2 to 1000 claims that are all based on one specific canary claim to create larger volumes of claims for modeling purposes.

  1. Access the Modeling - Replicate Canary Claim 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.

    Note: You must select a canary claim group for which you are the group owner.

    • Click Replicate in the Functions column for the claim you want to replicate. The Modeling - Replicate Canary Claim page opens.
  2. Type the number of claims you want to create in the Number to Replicate field.
  3. Click Request Replication.

Note: Clicking Request Replication does not create these claims immediately. Clicking this button places your job in a queue of jobs waiting to be processed. Once the job processes, the claims appear in your group. For more information about checking the status of your batch job status, refer to View Canary Job Status.

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

Field

Description

Admit Date

Date of admission for the account.

Bill Type

Bill type.

Claim Type

Claim type: Inpatient or Outpatient.

DRG

Specific DRG(s) that appear on the claim.

Group Description

Short description of the canary claim group.

Group Name

Name of the canary claim group.

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.