WebPT Ideas and Discovery

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No PHI should be included and application issues should be reported to WebPT Support
(support@webpt dot com)

Automatic Adjustment would make my life easier for this Adjustment code

Payer Claim Ref #: 2919063261550

Claim Status: Processed as Primary, Forwarded to Additional Payer(s)
03/01/19 97110 2.00 102.00 55.65 36.93 45,253,59,2 9.42  
  ERA Applied: 55.65 36.93      
and crossed over

Payer Claim Ref #: 2919063261550

Claim Status: Processed as Primary, Forwarded to Additional Payer(s)
03/01/19 97112 2.00 104.00 51.77 41.61 45,253,59,2 10.62  
  ERA Applied: 51.77 41.61      
and crossed over

Payer Claim Ref #: 2919063261550

Claim Status: Processed as Primary, Forwarded to Additional Payer(s)
03/01/19 97530 1.00 65.00 26.55 30.63 45,253,2 7.82  
  ERA Applied: 26.55 30.63      
and crossed over
2 Coinsurance Amount
45 Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use Group Codes PR or CO depending upon liability). This change effective 7/1/2013: Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use only with Group Codes PR or CO depending upon liability)
59 Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.) Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
253 Sequestration - reduction in federal payment -THIS ONE NEEDS TO BE AUTO WRITE OFF Like CO -45
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  • Mar 22 2019
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