Issue 1: The claim details (i.e. TCN, Patient First and last name, CPT codes, modifiers, DOS) associated to the payment does not match the claim details associated to the current claim. This could be caused by:
The claim was not submitted through our application. Meaning it was sent by another vendor.
The details associated to the claim (i.e. TCN, Patient First and last name, CPT codes, modifiers, DOS) were modified after the claim was submitted.
Issue 2: The payment for one charge was separated into two payments by the payer.
How to Fix:
Solution 1: Select “Remove”. This action will remove payments/adjustments related to the charge that was not found.
Solution 2: Select “Find Charge” to locate the line item that has been split up. Select the CPT this payment/adjustment should be attached to. Then select “Save”.