S-BIL-01 · W08 Billing and Revenue Cycle (Medicare and Medicaid) · fit: unknown
A coded visit becomes a claim
As a billing technician, I want every coded visit for a Medicare or Medicaid patient to appear as a claim, so that no billable visit is missed.
| Persona | billing_technician |
|---|---|
| Journey | A visit is coded and billed |
| Step | Reviews the claim in Third Party Billing Task_04_ReviewsTheClaimInThirdPartyB |
Scenarios
| S-BIL-01.1 | Given a coded visit for a patient with Medicaid eligibility on the visit date, When claims are generated, Then a claim for Medicaid exists for that visit with its CPT and ICD codes. |
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