|
| 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 modified 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. |
| NAA modified due to existing net-down adjustment. |
| No NRP is performed due to contract variance. |