Add a New Service Type Definition

When adding definitions to your service type definition table, you may create definitions individually from scratch.

Note: The table must be currently checked out to you. For instructions, refer to Check Out / Check In a Service Type Definition Table.

  1. Access the Edit Service Type Definition Table page.
    • Select Go To > Contract Loading > Service Type Table Management. The Service Type Definition Table Management page opens.
    • Click a link in the Service Type Definition column. The Edit Service Type Definition Table page opens.
    • Click Add New Definition. A blank service type page opens.
  2. Specify the details of the new service type.
    • Type the Name.

    If you name the new service type the same as a service type in the Universal table, this new service type replaces the Universal definition for all contract profiles that are linked to this table.

    • Type the Rank. You may use the Universal table as a guide when determining the rank of a service type.
    • Select the Type:
      • Inpatient
      • Outpatient
      • ER
      • Professional Services
      • All
    • Type the Condition expression.
    • Type other expression details as needed.
  3. Click Add. A message appears when you add a new service type definition successfully.

You may modify any existing service type definition using the Update and Delete buttons (available for each service type).

The following table describes the fields in a new service type on the Edit Service Type Definition Table page.

Field

Description

Activation Date

Date when the service type definition table is available for use in claims processing (repricing)

Active Status

Indicates the purpose and progress of the service type definition table

Charges Expression

Determines the resources to be consumed and/or the charges associated with a service type. Typically, outpatient claims are reduced by charges, because there are not multiple days to reduce resources

Condition

Associates billing codes from a claim with a service type definition and reimbursement. Use tokens and operands to build this expression. For more information, refer to Tokens and Operands

Days Expression

Determines the resources to be consumed and/or the days associated with a service type. Typically, inpatient claims are reduced by days, because reimbursement is based on a per-day calculation

Definition Table Name

Name of the service type definition table

Effective Date

Date when the service type definition table is effective

Implementation Stage

Current implementation stage of the service type definition table

Implementation Status

Current implementation status of the service type definition table; progression within the current implementation stage

Location

Indicates whether the table is universal or facility-specific, which determines where the table is stored; if facility-specific, indicates the facility

Name

Name or abbreviation of the service type from the contract. Use your facility’s naming conventions

Rank

Hierarchy to determine which service type to look at first for a match

Sort

Criteria by which your search results are sorted and displayed

Termination Date

Date when the service type definition table is terminated, no longer effective

Type

Patient type for which the service type is used

Units Expression

Determines the units to be consumed by the service type.