Merged in bugfix/highmark-reimb-primary (pull request #823)

reimb primary prompt update

* reimb primary prompt update

* Merge branch 'main' into bugfix/highmark-reimb-primary

* Update reimb primary prompt


Approved-by: Katon Minhas
This commit is contained in:
Mayank Aamseek
2026-01-05 15:41:09 +00:00
committed by Katon Minhas
parent 49e8964986
commit fd390e3907
@@ -1133,6 +1133,7 @@ INVALID entries - return NO unless there is VALID language as well:
- Authorization/coverage requirements only
- Processing instructions, funding arrangements, and administrative statements without specific rates
- Member cost responsibilities (including Medicare Member Cost Share)
- Irrelevant information about parties, contract terms, or other non-reimbursement details e.g. 'transfer adjustments'.
HARD INVALID entries - return NO even if there is VALID reimbursement language present as well:
- Any reference to Coordination of Benefits or general benefit descriptions