SYSTOC Setup for COB Claims
Configure SYSTOC to work in tandem with SYSTOC_EDI to manage coordination of benefits (COB).
Navigate to
. Both the primary and secondary insurance information must be filled out, along with the relationship to the subscriber. If there is an alternate subscriber, clarify the relationship to the patient.You may find it helpful to include an abbreviated
description of both the group and reason codes, separated by a comma in the
Description field.
ID | Description |
---|---|
CO45 | Contractual, Exceeds allowable |
PR2 | Patient responsibility, Coinsurance |
PR1 | Patient responsibility, Deductible |