Kevin / Tom: I see you are having the same experience with the commercial 835s that I am... The reason codes from the payer are more specific than the ANSI Code... A Few Questions:
Are you live with the 835 commercial? If so, how do you work around these reason code differences? (Specifically for payers who will discontinue sending the hard copy remits after ERA Go live)? Do you have a denials / underpay department? If so, how did they deal with the differences? Also, Kevin: Where were you on the Meditech L List? I have been asking these questions on the L for a long time (with no responses) :-) Kim Scaccia, System Admin Recovery Reimbursement Patient Business & Financial Services Halifax Medical Center 386-226-4590 opt 1 ext 2018 ________________________________ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Thomas McManus Sent: Friday, September 28, 2007 3:35 PM To: [email protected] Subject: RE: [Talk] aetna 835 file Hi, I have experience with this. The paper copy and the electronic copy are different. Claims are indexed on account number. Another big difference is the Reason Codes. The paper copy uses a more specific reason code the electronic uses the Ansi standard codes which can be vague. Tom McManus Tuomey Healthcare System Sumter, SC 803.774.8645 ________________________________ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sexton, Kevin Sent: Friday, September 28, 2007 2:55 PM To: [email protected] Subject: [Talk] aetna 835 file This isn't really a BWS question.... The Aetna 835 file I am loading into Meditech doesn't match the hard copy they have been sending us. Has anyone else run into this. I was expecting patients A-Z but those patients are scattered all over various electronic files. -Kevin
