835 Posting Rule Engine
Map CARC/RARC codes to posting actions: allowable, paid-to-patient, write-off, denial.
Posting rules
BHD10
ActiveCustom Posting · Auto-post: Yes
Main condition
Submitted Charge Amount EQUALS Insurance Payment + Sum of Reason CodesAllowable Reason Codes
Default: Bill NextInclusion
Group A
Exclusion
CO1CO10
Paid to Patient
Default: Patient BalanceInclusion
PaidToPatient
Exclusion
Group B
Write Off
Default: AdjustInclusion
CO45CO253
Exclusion
—
Denial Reason Codes
Default: HoldInclusion
Group B
Exclusion
PaidToPatient