Implementation Manual for the Healthcare Claim Payment Advice

Implementation Manual for the Healthcare Claim Payment Advice

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This edition is a guide to using the 835 healthcare claim payment/advice standard. Developed by committees of the American National Standards Institute (ANSI) to help automate remittance processing, the 835 can be used to electronically receive and process payments and remittance information as well as to reduce administrative costs and human error. This manual takes readers through the process of effectively receiving remittance information and allows the user to automate: mail and check deposits; medicare, medicaid and commercial payor payment logs; reconciliation of bank deposits with remittance detail; and reconciliation of submitted charges with actual payment.Examiner Procedure Procedure Description Place o( Service Adult N. Job 158-37 -0043 Adult N. Pain 4328B 4 22350574 lone ... This information about the claim would be presented as follows: CLP*22350574* 1*5000*3995*905~ The claim submittera#39;s identifier = patient account number. ... CAS*PR* 1* 300**2 *705~ The code begins with the claim adjustment reason group of patient responsibility.

Title:Implementation Manual for the Healthcare Claim Payment Advice
Author:James J. Moynihan, Marcia L. McLure
Publisher:Irwin Professional Publishing - 1995


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