There are base claim formats that are included in SmartCare. Claim formats are setup against each billable Plan in SmartCare. Plans such as Medi-Cal have specific logic built in, to support CA CalAIM requirements.
SmartCare allows for Billing Claims Overrides to the Claim Formats using the Billing Claims Overrides screen for special billing formatting needs. In the example below, there is a Billing Override to format the 837P claim to the specific requirements for the place of service “Home”.
