During a search, when a service is selected it is going through a series of filters (listed below). Note that this was discussed originally in the Roundtable on Testing and Triage.
- Service to Place of Service (POS) filter - is the POS supported in List of Services?
- Specialty to POS filter - is POS Allowed?
- Service to Specialty Filter - is Specialty Allowed?
- Billing Class Match Provider Type?
- 400 Result Filter - Is provider/rate present in the 400?
- Rate Record Match to Provider Data?
- Result Set - Provider Rates