Contract Validation Results

Use this process to view claim validation results.

  1. Access the Contract Validation Results page.
    • Select Go To > Contract Loading > Support Functions > Contract Validation. The Contract Validation Claim Research page opens.
    • Type an account number, and then click Display Claims. The Contract Validation Claim Selection page opens.
    • Click a claim, and then click Select Claim. The Contract Validation Criteria page opens.
    • Set validation criteria, and then click Validate. The Contract Validation Results page opens.
  2. View the step summary for each validation step.
  3. Optionally, click one of the following links:
  4. Click Next or Previous to see the other steps.

The following table describes the fields on the Contract Validation Results page. For FinThrive users only, the source information is given for some fields, in the format: “Table.Field.”  

Field

Description

Account Number

Patient account number (for UB claims) or insured ID (for CMS-1500 claims)

Admit Date

Date of admission for the account

Anchor Date

Artificial date of service for all claims associated with the scenario

Bill Type

Bill type

Contract

Contract Profile Name

Dates of Service

The range of date of service from and date of service to for the claim

Patient Name

Patient name

Patient Type

Patient type assigned to the account: Inpatient/Outpatient

Primary Diagnosis

Primary diagnosis code. This field provides a link to additional information about the code.

  • Click the link to view basic information about the code.
  • KnowledgeSource subscribers can log in to KnowledgeSource to view detailed information about the code.

Note: You must be a KnowledgeSource subscriber to view ICD-10 code information.

Product

Name of the insurance product selected

Service Type Definition Tables

Name of the service type definition tables