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Contains a line level action that was taken for the payment. |
May contain organization-specific values: No |
Category Entries: |
The claim charge amount was increased due to charge not found extension. |
Resubmit Insurance action will be suppressed. The coverage is not effective. |
Retro/Transfer/Charge Correction to the invoice has suppressed Resubmit Insurance. |
Retro/Transfer/Charge Correction to the invoice has suppressed Next Responsible Party. |
Denial has suppressed Next Responsible Party. |
Write-off suppressed due to not allowed write-off performed by other payor. |
Write-off suppressed due to not allowed write-off previously performed. |
Write-off suppressed as insurance write-off actions are not allowed to overpost. |
Resubmit insurance action will be suppressed. This secondary crossover payment has arrived before the primary. |
Next responsible party action will be suppressed. This secondary crossover payment has arrived before the primary. |
Secondary coverage skipped as they have already paid (from crossover). |
Resubmit insurance action will be suppressed. This is a crossover payment. |
Self-pay bad debt will be automatically recovered. |
A next responsible party action has been performed. |
A next responsible party action has been removed. |
Remark codes |
This is a duplicate payment by the primary payor. |
A next responsible party was changed to research. |
A credit adjustment was decreased to preserve patient liability. |
NAA suppressed due to preserve patient liability. |
NAA suppressed due to $0 due to preserve patient liability. |
NAA modified due to preserve patient liability. |
Remittance workqueue comment. |
Remittance Note |
Removed paid amount and added as capitation adjustment. |
Tax amount removed from line. |
The write-off amount is equal to or greater than the charge amount. |
NAA suppressed for full denials. |
Payment matched to charge with different procedure code |
NRP of zero balance is not performed because balance is no longer zero. |
No NRP is performed because NRP amount is negative. |
No NRP is performed because outstanding balance is negative. |
NRP amount is reduced to outstanding balance. |
Action amount adjusted due to FQHC/FPEP adjustment. |
NAA and NRP adjusted or suppressed due to contract variance. |
Payment matched to charge with different billed amount. |
Write-off could not be performed; no procedure defined. |
Paid amount cleared and moved to bundled line. Offsetting adjustment added. |
Paid amount added from show-only line(s). Offsetting adjustment added. |