If the first contract line does not match the first claim line, what happens to that claim line?

• A. It does not price that claim line.
• B. It is priced by the first contract line anyway.
• C. It is removed from the claim.
• D. It is priced by the next contract line.

Answer: (C)

The pricing process relies on a line-to-line match between claim lines and contract lines. If the first contract line doesn’t align with the first claim line, there’s no valid contract rule to apply to that claim line, so it’s removed from the claim. This prevents incorrect pricing and preserves accuracy for the remaining lines that do have a valid contract mapping. The later claim lines can still be priced if they find matching contract lines, but the unmatched first line is eliminated.