Hi
How do we identify fields for basic and weighted condition
Hi
How do we identify fields for basic and weighted condition
@SPD Murthy
Basic conditions : These should be constant for all the cases , suppose you are raising a dispute case on one of the claims , once you raise the dispute there should not be any another dispute case rasied with the same claim ID , here Claim ID can be a basic condition .
Weighted conditions : Once the basic condition passes then we have the weighted condition , these can the hospital name , pateinet ID , Insurance ID the other entities like same patient ID can have another claim as well.
@SPDM9600 The fields which are unique should be under the basic conditions and remaining which are less unique across the case can be under the weighted conditions. Refer this link