Legacy Financial Class Code Conventions

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Legacy Financial Class Code Conventions

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Effective July 2025, all facilities with an install date after July 2025 will utilize the Financial Class Code Convention detailed in the previous section. This section details the Legacy Financial Class Code Convention that was the previously recommended standard for installs prior to July 2025. Please reach out to a TruBridge Support Representative with any questions.

 

Each character in the Financial Class Code is used to identify the type of claim more accurately.

 

 

First Character

 

The first position is used to identify the insurance carrier. If this is the only character in the code, it is an Inpatient claim.

 

legacy_fin_class_code_first_character

Legacy Financial Class Code - First Character

 

 

† See the Commercial section for more information regarding Commercial Financial Classes.

 

 

Second Character

 

The second character of a Financial Class Code identifies the Stay Type or Service the patient is receiving such as an Outpatient or a service with a physician component. Standard descriptions should be used when setting up Financial Class Codes in the Insurance Companies Table to ensure all options are displayed when searching.

 

legacy_fin_class_code_second_character

Legacy Financial Class Code - Second Character

 

 

Third Character

 

The third character of a Financial Class Code may be used in two ways. It may identify a specific group of Outpatients, or it may be used in combination with the second character position to identify a different type of claim.

 

legacy_fin_class_code_third_character

Legacy Financial Class Code - Third Character

 

 

Other Examples

 

Inpatient claims may have an alpha or numeric character in the second position of the Financial Class Code. If it is an alpha character, it must be something other than "B", "C", "H", "S", or "P" as those are reserved for the TruBridge defined second characters detailed above.

 

other_example_ip

Other Examples - Inpatient Financial Class Codes

 

 

Outpatient claims may also have an alpha or numeric character in the third position of the Financial Class Code to ensure there are enough options for unique Financial Class Codes for all Insurance Companies.

 

other_example_op

Other Examples - Outpatient Financial Class Codes

 

 

Commercial

 

Financial Class Codes needing to begin with "C" do not always allow for the segmentation of all commercial insurance carriers due to the volume of available commercial insurances. Additional letters may be used to designate commercial payors and all for further segmentation. The only letters which may not be used for commercial insurances are the Financial Class Codes in which TruBridge has already defined in the above sections.

 

commercial_financial_class_codes

Commercial Financial Class Code Examples