PDF Version
TO: All Providers
RE: Upcoming
Changes to the 835 Electronic Remittance Advice
As of the May 7, 2021 checkwrite, the following changes will be re-applied
to production. These changes were previously applied for the March 5, 2021
checkwrite and were rolled back on
March 19, 2021 after issues were discovered.
These changes are as follows:
The
claim types listed below will now be reported at the header level (Claim Payment
Information Loop 2100), with no detail level (Service Payment Information Loop
2110) data returned. Payments and adjustments will now be reported at the
header level (Claim Payment Information Loop 2100).
· Inpatient
· Outpatient Crossover
·
Compound Pharmacy
For all claim types, the Allowed Amount
(AMT*B6) will continue to be reported in the 835 but for informational purposes
only and should not be used when balancing claim payments and adjustments.
For all other claim types, the
structure of the claims will NOT
change, but users may see some changes in adjustment amounts and CARC / RARC
codes returned to more accurately reflect claims pricing and ensure claim level
balancing.
If you have questions about the changes please
contact interChange_Testing@dxc.com.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2021
American Medical Association and © 2021 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.