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when posting ERA's we are having a lot of confusion with Carefirst EOB's with take backs or warning of a take back. can anyone share there process of steps that can assist our payment posters?
Posted : September 9, 2015 5:10 am
Do you post the 835 files?
Posted : September 9, 2015 6:05 am
Topic starter
YES – we do post 835s.
This is where they include the details of the takeback in the ERA – but don’t deduct the monies until a later remit. (otherwise they’ll tell you to post a negative payment and negative adjustment).
What about Carefirst BCBS Facility 835s - where they do not include the procedure code on the remit. How do you handle that also?
Posted : September 11, 2015 2:42 am
