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Table of Contents

Sample clinic raw settings

Code Block
languagejson
{
    "claims": {
		"enabled": true,
		"carrier": {
			"Cigna": "car7556",
			"Anthem Blue Cross Blue Shield": "car11406",
			"ANTHEM BLUE SHIELD": "car11406",
			"MONTGOMERY HEALTH INSURANCE": "car7580",
			"HEALTH CHOICE ARIZONA": "car7556",
			"MEDICAID LOUISIANA": "car11400"
		},
		"relationship": {
			"self": {
				"standardrelationship": "1",
				"hipaarelationship": "18"
			},
			"spouse": {
				"standardrelationship": "2",
				"hipaarelationship": "01"
			},
			"child": {
				"standardrelationship": "3",
				"hipaarelationship": "19"
			},
			"other": {
				"standardrelationship": "4",
				"hipaarelationship": "G8"
			}
		},
		"procedure_codes": {
			"10022": {
				"id": "pcode35772",
				"units": "1.0",
				"tos": "01",
				"pos": "11",
				"fee": "30"
			},
			"99211": {
				"id": "pcode35602",
				"units": "1.0",
				"tos": "01",
				"pos": "11",
				"fee": "28"
			},
			"1035F": {
				"id": "pcode100247",
				"units": "1.0",
				"tos": "01",
				"pos": "11",
				"fee": "29"
			}
		},
		"diagnosis_codes": {
			"Z20-822": "dcode1033895691",
			"R05-9": "dcode1033895692",
			"R50-9": "dcode1033894809",
			"R51-9": "dcode1033895693",
			"B34-9": "dcode1033895695"
		},
		"proc_code_modifiers": {
			"20": "mcode2",
			"21": "mcode3",
			"F1": "mcode43"
		},
		"facility_code": {
			"3": "fac94",
			"41": "fac94",
			"AWC": "fac95",
			"AMC": "fac230",
			"MSC": "fac3",
			"STM": "fac94"
		},
		"default": {
			"provider_profile": "prof18",
			"finclass": "fclass4",
			"chart": "AUTO",
			"coverage": "1",
			"eligibilitystc": "30",
			"accttype": "4",
			"cron_job_delay": 20
		},
		"advancedmd": {
			"login_url": "xxx",
			"username": "xxx",
			"password": "xxx",
			"office_code": "xxx",
			"app_name": "xxx"
		}
	}
}

Check Eligibility and Claims Submission Workflow

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