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Back  RFI # 559: Claim Remark Codes

Formal vs. Informal Help Informal Formal

Submitter

Jennifer McMullin

Description

Our adjudication system allows payers to apply adjustment codes and remark codes at a claim level on professional claims. In this scenario, where would we output these remark codes on the 835? These are not line level remark codes, so we're assuming that they shouldn't go in the LX segments. Would we populate them in the MIA or MOA segments?

Submitter Assigned Keywords

MIO MIA

Response

This issue is explicitly addressed in guide 004010X091. At the claim level, Remark Codes are conveyed in MIA05, 20, 21, 22 and 23 or in MOA03, 4, 5, 6 and 7.
Submission 5/16/2007
Status Date 5/23/2007
Status F - Final
Primary References
Document 004010X091
Section2100
Page118
Set ID835
Table2
Loop2100