Dennis I dont' think there's any objection to putting code 100 - Payment made to patient/insured/responsible party into a COB 837. In fact, you'd have to if it was necessary to balance the payment against the billed. 835s must balance and claims, particularly the COb portion of them, should balance. j [EMAIL PROTECTED] wrote: > Question: > Is any other payer intending to include claims where there was an amount paid > but the check was addressed to someone other than the provider ? > Can anyone identify a specific area of the legislation or the Imp Guides that > indicate that this is a requirement? > There is an adjustment reason code 100 on the WPC web site that makes it appear > that these situations can be accounted for, but that doesn't mean we're > obligated. > Thanks, Dennis > > Note: If you get an out of office reply from my e-mail, please ignore. Other > folks at my company will be looking for responses. > > -- > This electronic message contains information that may be legally confidential and/or >privileged. The information is intended solely for the individual or entity named >above and access by anyone else is unauthorized. If you are not the intended >recipient, any disclosure, copying, distribution, or use of the contents of this >information is prohibited and may be unlawful. If you have received this electronic >transmission in error, please reply immediately to the sender that you have received >the message in error, and delete it. > -- > > ********************************************************************** > To be removed from this list, send a message to: [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request.
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