|
| Contains an action that was taken for the payment. |
| May contain organization-specific values: No |
| Category Entries: |
| Selected procedure code cannot be used for this payment. |
| Both a takeback and a $0 denial are present for the invoice. |
| This payment has a corresponding forward balance PLB payment. |
| This payment has an unbalanced forward balance PLB payment. |
| The claim charge amount was increased due to charge not found extension. |
| Remittance workqueue comment. |
| Undistributed remittance workqueue error message. |
| This payment was automatically distributed. |
| Service line paid amounts may have change due to the payment distribution setting in the RMO. |
| Remittance Note |
| MA07 - The claim information has also been forwarded to Medicaid for review. |
| MA18 - The claim information is also being forwarded to the patient's supplemental insurer. |
| Updated subscriber ID is identical to the current subscriber ID. No update necessary. |
| New subscriber ID missing from file. No update will occur. |
| Insurance ID will be updated upon acceptance of the run. |
| Supplemental Remittance Information |
| The invoice paid amount was updated as a result of the interest payment received in the AMT-I segment. |
| Interest in the claim level AMT-I segment. |
| Payor sent procedure. |
| The paid amount for this claim was calculated by the system successfully. |
| Charge(s) not found during calculation of the paid amounts. |
| The claim paid amount can not be successfully distributed. |
| Remittance file contains invalid invoice number or service date. |
| SVC segments cannot be created when the remittance file charge amount does not match the invoice. |
| An extension has been configured to error out payments with a specific claim status code. |
| A service level adjustment has been added by a remittance balancing extension. |
| A claim level adjustment has been added by a remittance balancing extension. |
| Pre-payment comment |
| Capitation adjustment removed from claim level and added to service line level. |
| Tax amount was removed from check. |
| Tax amount removed from invoice payment. |
| Claim paid amount updated by supplemental payment programming point. |
| Service level paid amounts have been updated by a supplemental payment extension. |
| Payment automatically generated from remittance image record. |
| Invoice error message |
| This payment could not be distributed. |
| Sum of all invoices meeting the external invoice format. |
| Overridden load error message |
| Overridden load error comment |
| Remittance run comment |
| No automatic distribution. Unmatched remittance amount does not equal unmatched claim amount. |
| No automatic distribution. A non-zero unmatched claim line is required. |
| Payment received for rejected invoice will be posted to an accepted invoice. |
| Payment made from a Consumer Spending Account |
| Insurance ID format does not match defined payer/plan format. No update will occur. |
| Payment was modified due to a discrepancy with the billed amount of the matched claim. |
| Payment billed amount was modified due to a discrepancy with the matched claim without comparing to the primary payer's adjudication. |
| Payer changed in payment posting. |
| NAA and NRP suppressed due to contract variance. |
| NAA and NRP suppressed as payment was posted against voided invoice |
| NAA and NRP suppressed as payment was posted for BFD cross-over invoice |
| NAA and NRP suppressed as payment qualified for pre-payment filing extension |
