Create or Update 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 UB04 Claim Entry / Rework Screen provides a claim form that you can modify to create a new canary claim to include in a canary claim group. You can also use this page to modify existing canary claims.

  1. Access the Modeling - UB04 Claim Entry / Rework Screen 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.
      • To create a new canary claim, click Add New Canary Claim.
      • To update an existing canary claim, click Edit in the Functions column for the claim you want to edit.
  2. The Modeling - UB04 Claim Entry / Rework Screen page opens.
  3. Type the desired information for the claim in the appropriate fields.
    • Personal health information is not editable.
    • Required fields are shaded in blue.
  4. To add detailed charges to this claim, click Manage Detailed Charges. The Canary Claims Detail Charges page opens. For more information, refer to Add Detailed Charges to a Canary Claim.
  5. Do one of the following:
    • Click Add New Claim if you are creating a new claim.
    • Click Save Existing Claim if you are updating an existing claim.