Data SnapShot - Remittance

Remittance

The Remittance file stores records representing remittance (remark, adjustment, and unpaid reason) codes that were received on EOBs and applied to claims/charges.
To distinguish remarks, adjustments, and unpaid reasons in this file, a combination of the TYPE and ADJUSTMENT fields should be used as follows:
Remarks:

TYPE = 'R'

Adjustments:

TYPE = 'A'
ADJUSTMENT = 'Y'

Unpaid Reasons:

TYPE = 'A'
ADJUSTMENT = 'N'

Field
Description
Values
SEQNO
Unique identifier for the remittance line record.
Numeric - 8 or 9 digits
ACTIVITYID
The ID of the activity entry that represents the claim billing activity for which the remittance was received.
Numeric - 8 or 9 digits
ADJUSTMENT
Whether the remittance line represents an adjustment.
N: No, remittance is not an adjustment
Y: Yes, remittance is an adjustment
CHARGE
The ID of the charge that the remittance was received for.
Numeric - 8 or 9 digits
CLAIM
The ID of the claim that the remittance was received for.
Numeric - 8 or 9 digits
CODE
The remittance code.
Alphanumeric - Up to 5 characters
CREDIT
The ID of the credit (payment/adjustment) record associated with this remittance line.
Numeric - 8 or 9 digits
DENIAL
Whether the EOB that the remittance code was received on was marked as denied.
N: No, EOB was not marked as denied.
Y: Yes, EOB was marked as denied.
PAYOR
The ID of the payer that the remittance was received from.
Numeric - 8 digits
TYPE
The type of remittance line received.
A: Adjustment
R: Remark

Field	Description	Values
SEQNO	Unique identifier for the remittance line record.	Numeric - 8 or 9 digits
ACTIVITYID	The ID of the activity entry that represents the claim billing activity for which the remittance was received.	Numeric - 8 or 9 digits
ADJUSTMENT	Whether the remittance line represents an adjustment.	N: No, remittance is not an adjustment Y: Yes, remittance is an adjustment
CHARGE	The ID of the charge that the remittance was received for.	Numeric - 8 or 9 digits
CLAIM	The ID of the claim that the remittance was received for.	Numeric - 8 or 9 digits
CODE	The remittance code.	Alphanumeric - Up to 5 characters
CREDIT	The ID of the credit (payment/adjustment) record associated with this remittance line.	Numeric - 8 or 9 digits
DENIAL	Whether the EOB that the remittance code was received on was marked as denied.	N: No, EOB was not marked as denied. Y: Yes, EOB was marked as denied.
PAYOR	The ID of the payer that the remittance was received from.	Numeric - 8 digits
TYPE	The type of remittance line received.	A: Adjustment R: Remark

Data SnapShot - Remittance

Remittance

Related Articles