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Back  RFI # 642: HRA Payments

Formal vs. Informal Help Informal Formal

Submitter

linda heitman

Description

Currently if an HRA Payment is made there is no CARC identifying that is what occurred on the claim. There is CARC 187 for HSA's, so what would be used to identify an HRA payment?

Submitter Assigned Keywords

HRA Payments

Response

There are several models for communicating the HSA/HRA amounts to the providers - there is "all in one","all in two" and "the COB method" - the COB method was preferred by the 835 workgroup providers as the easiest to incorporate into their AR systems.

A lunch and learn presentation on the related topic of CDHP is located here for further reference.
http://www.wpc-edi.com/docman/task,view_category/Itemid,264/subcat,42/catid,87/limitstart,0/limit,5/

Once you have determined which model you will use. You could request or revise the CARC code http://www.wpc-edi.com/content/view/518/205.

Recommendation

Request a new code or revision to 187 to encompass HSA,HRA etc. and review the lunch and learn to determine which method will work best for your providers.
Submission 4/8/2008
Status Date 7/9/2008
Status F - Final
Primary References
Document 004010X91
SectionCAS
Page95
Set IDCAS02