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835 Remittance Advice Enhancements

Beginning July 25, 835s will include the following enhancements:

  • Secondary claim reporting
  • Addition of Paid Units of Service
  • Improved accuracy of PLB qualifiers
  • Improved reporting of bundled services
  • Claim level message codes in MIA/MOA segments
  • Addition of alpha prefixes to member identification numbers
  • Improved accuracy of message codes (CARCs and RARCs)
  • Reversals now accurately display specific amounts reversed in CAS segments
  • Institutional providers will see the addition of claim level reporting for inpatient diagnosis related group (DRG) claims with accurate DRG weight
  • Addition of Line Item Control Number will be captured from inbound claims beginning July 25 for return on 835s as those claims complete the adjudication process

 

 


 

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