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Validation edits

Updated on December 15, 2021

Smart Claims Engine provides a framework for performing basic validations before the claim goes through benefit and pricing adjudication. These validations support the claim-header and claim-line level edits for professional, institutional and dental claims. These validation edits are performed in the Process validation edits (SVE) module.

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To add more validation edits, you would add a new collection containing edits to the Pre or Post steps of the SVE module.

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