Dan There is an 835 adjustment code for pended claims: 133 - The disposition of this claim/service is pending further review.
Also, as a thought, Payers here in Utah who have this problem are considering using the 277U for this business need. It's not a HIPAA transaction but it would work fine. Plus, they figure since they have to implement a 277 anyway, it's not that much more work to implement another type of 277. And, the providers' software can handle it with little extra work (since they will be handling a 277 anyway). Jan Root "Clark, Dan" wrote: > We currently notify Providers of their pended claims on our proprietary > electronic remit. There is no allowance for that in the new 835. We are > trying to decide whether or not continue this practice and if so, how? We > are considering generating paper "letters" that would be mailed to > providers. We are also looking at creating a separate proprietary > electronic pend notification transaction. And as previously stated, we > are also considering stopping the process of sending this information to > Providers. > > I would appreciate hearing from anyone who has a similar dilemma and let me > know how you are handling it. > > Thanks very much > > Dan Clark > 804-678-0053 > [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > > ********************************************************************** > 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. ********************************************************************** 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.
