The Group codes can be located in the 837 institutional implementation guide. Hope this helps..
Stephanie Barnett
AXIOM-Systems, Inc.
James Driscoll <[EMAIL PROTECTED]> wrote:
There use to be explicit and extended definitions of the Health care claim adjustment reason codes on the WPC web site, however, when I checked the site, they were not there. Does anyone have these definitions? What I am looking for are the GROUP codes. (i.e. Patient Responsibility- PR, Contractual Obligations -CO, Corrections and Reversals- CR, Patient Initiated Reductions- PI and OA- Other Adjustments.
Also, I have the VTBCBS mapping and the Utah mapping via Jan Root. I wanted to know if there were any repricers or any non-risk entities that have completed the mapping crosswalk?
Thank you for your time.
Best regards,
Jim Driscoll
Business Analyst-Software Development
Sloans Lake Managed Care
1355 South Colorado Blvd.
Denver, CO 80222
303.504.5367 direct
303.504.5367 fax
1.800.457.2345
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