Adjustment and Payment Codes
The bad debt adjustment code
What is 3004?
The number assigned to every line item in Professional Billing
What is a Transaction number?
The number assigned to each hospital encounter
What is a HAR?
The guarantor account type referenced most often
What is a Personal/Family account?
The code applied to bring the total charges to the member rate or allowed amount
What is 3023?
The tab that displays information such as encounter form number, modifiers, contested status, and diagnoses
What is the Tx Detail/Summary tab?
The tab that displays the Statement History section
What is the Acct Summary tab?
The amount a deductible member is asked to pay at check-in
What is a deposit?
The code for a payment made over the phone or by mail
What is 1028?
The tab that displays member liability and the ICN
What is the Tx EOB Info tab?
The line that needs to be expanded to locate the ICN
What is the Internal Claim payment 1094?
The person financially responsible for the balance on the account
What is a guarantor?
The code for a bad debt reversal
What is 5004?
The tab that displays statements for the selected charge
What is the Tx History tab?
The tab that includes balances, charges, payments, and refunds
What is the Tx Inquiry tab?
The system that adjudicates benefits and tracks accumulations
What is Tapestry?
The code for an Internal Claim payment
What is 1094?
This code gives the billed service a different meaning or adds additional information
What is a modifier?
This section displays when a charge line is expanded
What is the Itemized Charge Listing?
The document that explains what amounts were covered by the plan and what amounts may be the member's responsibility
What is an EOB?