Additional Information Supporting Documentation-Charge Level *
Add Supporting Documentation to charge, if applicable
Additional charge information Supporting Documentation
Form Type Code-Required when adjudication is known to be impacted by one of the types
of supporting documentation (standardized paper forms) listed in LQ01.
1. Double Click on a charge line item to open Charge Details.
2. Click on tabs to add required information. These tabs will add information to each individual charge.
3. Select from drop down listing.
4. Click Save.
For information that will apply to all charges within the claim, see More Info.