A rule is made up of one or more criteria. Each criterion is composed of three parts:

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In a rule’s criteria, you define a single condition using three parts: a property, an operator, and a value. The property is the attribute you’re evaluating (for example, total charge, patient type, or claim date). The operator is how you compare that attribute to something else (such as equals, greater than, less than, or contains). The value is the target you compare the property against (like 1000, “Medicare,” or a specific date). Together, they express a precise test, such as total charge greater than 1000 or patient type equals out-of-network. That triplet structure—property, operator, value—is what makes the criterion a clear, evaluatable condition within a rule. The other options mix elements that aren’t the standard three-part composition of a single criterion.