If a claim matches the extension on the Claim Pricing Code Table, the contract will search every line on the Service Components tab regardless of Type.

• A. False
• B. True
• C. It depends
• D. Not sure

Answer: (A)

The main idea is that matching an extension in the pricing table is not a free pass to scan every line. Even when a claim aligns with that extension, the system uses the Type field as a filter when searching the Service Components. In practice, pricing rules are applied to lines that belong to the same component category (the same Type) as the claim. Lines with a different Type aren’t considered unless a special rule explicitly says otherwise. So saying the contract will search every line regardless of Type isn’t accurate—the Type constraint still governs which lines are evaluated.