-
This section introduces a user to the OP AWARE fields available for creating the Triggers (or the "when") circumstances for which the rule will be applied.
-
After completing all of the applicable Triggers for the OP AWARE rule, the Actions section located on the right-side of the window must be completed in order to tell OP what to do with superbills that fit the criteria outlined for the rule.
-
Billing Groups are created to group together sets of CPT or Diagnosis Codes, by range or list, to support the OP AWARE functionality.
-
The Advanced Workflow Rules Engine (OP AWARE) is a tool used to build billing rules based on specific criteria.
-
This video shows how to create an OP AWARE Edit Rule to add a modifier to one CPT Code when it occurs on the same superbill as another CPT Code.
-
This video shows how to create an OP AWARE Remove Rule to remove a CPT Code when it occurs on superbills for a specific Payer.
-
This video shows how to create an OP AWARE Split Rule to split one superbill's charges into two separate claims, for two separate responsible parties, and Insurance Payer and SP.
-
This video shows how to create an OP AWARE Rule to add a modifier to one CPT Code, and add an additional CPT Code with its own set of modifiers.