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Payer Rules: Combine or Split Line Items
Payer Rules: Combine or Split Line Items

How to create Payer Rules for Combining line items or Splitting Line items

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Written by Rachel
Updated over a week ago

Combine Line Item Rules

By default, when automatically creating an invoice the system puts each unique item delivered on its on service line.
With the combine line payer rule, it allows you to group multiple items with the same HCPC code on a single service line on the invoice with applicable quantity.

To create a new Combine Line Item rule, find the “Combine Line Item” tab and select “Add Rule” 

Search the HCPCS you want combined into a single service line, Be sure to select the blue plus sign after each entry to lock in your codes. 

Be sure to select save on the bottom right once complete

Split Line Item Rules

If you delivered a quantity of (X) of a single product by default, when automatically creating an invoice the system puts the item delivered with the total quantity on a single service line.  
With the split line payer rule, it allows you to split the total item count delivered with the same HCPC code on multiple service lines with a quantity of 1.  For example if you delivered a quantity of 5 of an item the invoice will create with 5 separate service lines. 

To create a new Split Line Item rule, find the “Split Line Item” tab and select “Add Rule” 

Search the HCPCS you want Split into multiple service lines, Be sure to select the blue plus sign after each entry to lock in your codes. 

Be sure to select save on the bottom right once complete.

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