https://docs.claimrev.com/ 2026-06-22T05:55:21+00:00 https://docs.claimrev.com/ https://docs.claimrev.com/lib/exe/fetch.php?media=wiki:dokuwiki.svg text/html 2026-05-12T18:38:26+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:billing-provider-override&rev=1778611106&do=diff Billing Provider Override Override the billing provider on claims based on payer, subscriber state, rendering provider, CPT codes, place of service, or claim type. Optionally override the pay-to provider as well. Applies to: Professional (837P), Institutional (837I), Dental (837D) text/html 2026-05-12T18:39:02+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:claim-note-auto-add&rev=1778611142&do=diff Claim Note Auto-Add Automatically add NTE (note) segments to claims for specific payers. Applies to: Professional (837P), Institutional (837I), Dental (837D) ---------- When to Use This * A payer requires a specific note on all claims (e.g., contract reference, special instructions) text/html 2026-05-12T18:39:19+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:filing-indicator-override&rev=1778611159&do=diff Filing Indicator Override Override the claim filing indicator code (SBR09) on claims. This is a common rejection reason when the wrong filing indicator is sent to a payer. Applies to: Professional (837P), Institutional (837I), Dental (837D) ---------- text/html 2026-05-12T18:39:31+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:modifier-rules&rev=1778611171&do=diff Modifier Rules Add, remove, or replace modifiers on claim service lines. Filter by payer and CPT codes. This module replaces the need for hardcoded modifier logic — you can configure any modifier change per payer. Applies to: Professional (837P), Institutional (837I), Dental (837D) text/html 2026-05-12T18:38:56+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:place-of-service-override&rev=1778611136&do=diff Place of Service Override Override the place of service (POS) code on claims. Optionally filter by CPT codes and original POS value. Applies to: Professional (837P), Dental (837D) ---------- When to Use This * Telehealth claims need POS changed from 11 (Office) to 02 (Telehealth) or 10 (Telehealth in Patient Home) text/html 2026-05-12T18:38:48+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:referring-provider-auto-add&rev=1778611128&do=diff Referring Provider Auto-Add Automatically add a referring provider to claims when one is not already present. Optionally filter by CPT codes. Applies to: Professional (837P), Institutional (837I), Dental (837D) ---------- When to Use This * Medicare or Medicaid requires a referring provider on claims for certain services text/html 2026-05-12T18:38:13+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:rendering-provider-swap&rev=1778611093&do=diff Rendering Provider Swap Automatically replace a rendering provider's NPI and name on claims when a specific NPI is found. Applies to: Professional (837P), Dental (837D) ---------- When to Use This * A provider has left your practice and claims still come in with their old NPI text/html 2026-05-12T18:38:41+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:service-facility-override&rev=1778611121&do=diff Service Facility Override Override or add the service facility (Loop 2310C) on claims for specific payers. Applies to: Professional (837P), Dental (837D) ---------- When to Use This * A payer requires a specific service facility NPI and address on all claims text/html 2026-05-12T18:38:35+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:subscriber-id-override&rev=1778611115&do=diff Subscriber ID Override Modify subscriber/member IDs on claims. Strip dashes or spaces, add prefixes or suffixes, or replace the ID entirely. Applies to: Professional (837P), Institutional (837I), Dental (837D) ---------- When to Use This * A payer rejects claims because the member ID has dashes (e.g., text/html 2026-05-12T18:39:11+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=guides:claim-rules:taxonomy-code-override&rev=1778611151&do=diff Taxonomy Code Override Override the provider taxonomy code on claims. Can apply to the billing provider, rendering provider, or both. Applies to: Professional (837P), Institutional (837I), Dental (837D) ---------- When to Use This * A multi-specialty provider needs different taxonomy codes per payer