Triage
The table below describes each triage task.
| Triage Task | Description |
|---|---|
COVERAGE | The Patient’s insurance is not valid for this Service (see coverageStatus within the Service) |
DATE_OF_SERVICE | The Date of Service conflicts with the billing date (it may be in the future). If appropriate, update the Service with a new dateOfService |
DUPLICATE_SERVICE_TYPE | The ServiceType cannot be billed again for this Patient (e.g., a second “Initial Visit”). If appropriate, update the Service with a new serviceTypeId |
INVALID_INITIAL_SERVICE_TYPE | This Service cannot be considered an initial service for the Patient. If appropriate, update the Service with a new serviceTypeId |
PATIENT_ADDRESS | An address cannot be resolved, update the Patient’s address |
PATIENT_CONSENT | One more PatientConsent is missing or expired, for this Patient |
PATIENT_INSURANCE | The Patient has an invalid insurance, associate a new Policy to the Patient’s coverage |
PROVIDER_NOT_ENROLLED | The Provider is not enrolled in the Patient’s insurance, so they are not valid for the Service |
THERAPY_DURATION | THERAPY_TIME_SPENT_MINUTES is missing from the Note or does not meet the minimum amount required for billing |
TRIAGE | This is the fallback task type, consult the message for details |
UPDATE_NOTE | Clinicial documentation updates are required, consult the message in the task for details, then submit a new NoteAddendum |
BILLING_TIME_LIMIT | Service cannot be billed more than 75 days after the date of service. |
MINIMUM_DURATION | Service cannot be billed if duration of the visit does not meet the minimum requirements. |
MISSING_TIME_SPENT_MINUTES | Service cannot be billed if time spent in minutes is missing from note and note addenda |
Deprecated Tasks
The REPLACE_NOTE task is no longer used, and a Note cannot be deleted. All updates should be NoteAddenda, identified by the UPDATE_NOTE task.