CARC · OA group
OA-23
The impact of prior payer(s) adjudication including payments and/or adjustments
Other adjustment; informational or offset
- What it means
- The secondary payer is showing what the primary already did.
- Likely cause
- Normal on secondary claims; a problem when the secondary balance is then never billed or posted.
- How to fix it
- Post primary and secondary remits in sequence and verify the remaining balance nets to zero or a valid patient balance.
- Revenue impact
- Posting errors here are a leading cause of phantom accounts receivable.
- coordination of benefits
- secondary
- posting
Related codes
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