To help you track and manage claims on ERAs that get returned with denial codes, you can now select a CARC (Claim Adjustment Reason Code) and RARC (Remittance Advice Remark Code) for each procedure when you are entering an insurance payment. Also, to facilitate this functionality, the dialog box for entering/editing an insurance payment has been updated, whether you are entering/editing a payment from the Bulk/ERA Insurance Payments page or a patient’s Ledger page.
Enter Claim Payment (from ERA)
Enter Payment (from Ledger)
While you are entering/editing an insurance payment, add codes as needed.
To add claim adjustment reason codes (CARCs) to a procedure
1. In the Reason Code column, click the Add link.
The Add Reason Code dialog box appears.
2. From the list, select up to three claim adjustment reason codes.
Note: To deselect a code, click the corresponding X
.
3. Click Add.
The selected codes are now attached to the procedure.
Note: To add or remove codes, you can click the pencil icon
.
To add remittance advice remark codes (RARCs) to a procedure
1. In the Remark column, click the Add link.
The Add Remark Code dialog box appears.
2. From the list, select up to three remittance advice remark codes.
Note: To deselect a code, click the corresponding X
.
3. Click Add.
The selected codes are now attached to the procedure.
Note: To add or remove codes, you can click the pencil icon
.