Update Product Matches

Use this procedure to update product matches.

  1. Access the Update Product Matches page.
    • Select Go To > Contract Maintenance > Product Maintenance. The Product Maintenance page opens.
    • Select a product from the Product list, and then click Display Products.
    • Click Update Product Matches. The Update Product Matches page opens.
  2. To update one or more product match records for the desired fields, click the check box next to each field you want to include, and type the desired values in those fields.
  3. Click the check boxes for all the product matches you want to update on the lower portion of the screen. Click the Select All check box to select all the product matches on the list.
  4. Click Update Product Matches. The Update was successful! message appears.
  5. Optionally, you can perform the following tasks while on this page:
    • Click Clear to remove all data from the fields.
    • Click Product Maintenance to add, edit, view, and delete the products and product matches. For more information, refer to Maintain Products and Product Matches.

The following table explains fields on the Update Product Matches page.

Field

Description

Active

Indicates whether the current profile is active or not

Bill Type

Bill type

Date

Date the product matches were last updated

Effective Date

Effective date for the product

Employer Name

Name of the employer associated with the product

Financial Class

Financial class code

GA Non-Covered Transaction Code

Medicare transaction code used to identify the discount amount and the amount of non-covered charges to be billed to the patient. MEDICARE ONLY

GL Code

General ledger code; identified the specific account to which a payment or discount is posted; this is a required field

GY Non-Covered Transaction Code

Medicare transaction code used to identify the amount of non-covered charges for self-administered drugs to be billed to the patient. MEDICARE ONLY

GZ Non-Covered Transaction Code

Medicare transaction code used to write off the non-covered write-off charges. MEDICARE ONLY

Hospital Patient Type

Facility-specific patient type assigned to the account

Hospital Service Type

Service type code

Insurance Group Number

Group number of the insurance product

MCR Part-B Inpatient Transaction Code

Transaction code used to cover Medicare Part-B inpatient charges

MCR Part-B Transaction Code

Transaction code used to cover all other Medicare Part-B charges

No.

Sequential reference number of the line item

Patient Type

Patient type assigned to the account: Inpatient/Outpatient

Payor Code

Payor code associated with the product

Payor Name

Name of the payor

Product

Name of the insurance product selected

Provider Number/NPI

Provider’s tax ID number or ten-digit National Provider Identification (NPI) number required on all claims

Rank

Hierarchy to determine which service type to look at first for a match. Preceding or following spaces are removed from the entered rank value. For example, if the you enter “ 1" or “1 “, the value is treated as “1” to prevent reprice errors.

Reporting Name

Name for reporting purposes

Select All

Allows you to select all line items on the list

Termination Date

Date the contract is no longer effective or is terminated

Update

Allows you to select specific line items

User

User ID of the last person to update the product matches