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Sub-Field: 361.1151

Package: Integrated Billing

EXPLANATION OF BENEFITS(#361.1)-->361.115-->361.1151

Sub-Field: 361.1151

Information

Parent File	Name	Number	Package
361.115	ADJUSTMENTS	361.1151	Integrated Billing

Details

Field # Name Loc Type Details

GROUP CODE

0;1

SET

'CO' FOR Contractual Obligations;
'CR' FOR Corrections and Reversals;
'OA' FOR Other Adjustments;
'PI' FOR Payor Initiated Reductions;
'PR' FOR Patient Responsibility;
'LQ' FOR Line Item Remark Code WebMD Kludge;

LAST EDITED: OCT 30, 2003
CROSS-REFERENCE: 361.1151^B
1)= S ^IBM(361.1,DA(2),15,DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^IBM(361.1,DA(2),15,DA(1),1,"B",$E(X,1,30),DA)

REASONS

1;0

Multiple #361.11511

DESCRIPTION:
This is the list of reasons returned for line-level adjustments to the claim.

PAYER POLICY REFERENCE

2;0

Multiple #361.11512

DESCRIPTION:
These are the payer policy references listed on the payer web site. Up to 5 payer policy references are allowed on the 835 record.