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Back  RFI # 1446: 835 Split Claim Adjustments

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Submitter

Jan Klimper

Description

When a claim is split, an MIA or MOA with remark code MA15 is included to identify the claim has been split. Must the MA15 continue to populate the split claim payment records if the claim is adjusted or reversed and corrected?

Submitter Assigned Keywords

835 Split Claim Adjustment MIA MOA MA15

Response

Since a split claim that is re-adjudicated (adjusted, reversed and corrected) is still a split claim versus the original claim submitted by the provider, the requirement to convey Remark Code MA15 still applies to the claim in the 835.
Submission 11/9/2011
Status Date 1/4/2012
Status F - Final
Primary References
Document 005010X221
Section1.1
Set ID835