Claim Adjustment definition
Examples of Claim Adjustment in a sentence
Because N363 is an “Alert” per the definition and not a type of denial, no Claim Adjustment Reason Code (CARC) is needed to post to the claim.
Claim Adjustment: A claim that has been incorrectly paid, incorrectly submitted or, as the result of an updated payment policy, the payment amount can be changed.
Claim Adjustment Type Code Claim adjustment types (Original, Adjustment, Deleted, Resubmitted, etc.) Claim Effective Date Date the claim was processed and added to the NCH.
The MCOP Remittance Advice (RA) and/or the 835 transaction (via the Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC)) must be used to communicate success or no success of claim line validations.
The HMO reporting system must have the ability to identify all denied claims/encounters using national HIPAA Claim Adjustment Reason.
Amounts in CLP05 should have supporting adjustments reflected in CAS segments at the CLP or SVC loop level with a Claim Adjustment Group (CAS01) code of PR (Patient Responsibility).
These figures were used to calculate the amount of money the small business was eligible to receive under the PPP.
B-1 n Exhibit "C" -- Foreign Claim Adjustment Categories..................
The Settlement Class Members hereby waive and release any challenge to the Settlement Claim Adjustment process and/or the Neutral Evaluation on Appeal process set forth herein, for any reason.
Claim Adjustment: A claim that has been incorrectly paid, incorrectly submitted or, as the result of an updated payment policy, payment amount can be changed.