Post

X12 835: Claim Payment and Remittance Advice

How a payer tells a provider what it paid and why: BPR/TRN payment details, CLP claims, SVC lines and CAS adjustments.

X12 835: Claim Payment and Remittance Advice

Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.

What this post will cover

  • 835 structure
  • BPR and TRN: payment method and reassociating the EFT
  • CLP claim payment and claim status codes
  • SVC service lines and CAS adjustments with CARC codes
  • PLB provider-level adjustments
  • Automating payment posting

Further watching

From the HealthTech Decoded channel:

Where this fits

Level 3 · Health data exchange › Healthcare EDI (ANSI X12)

This post is licensed under CC BY 4.0 by the author.