Remittance Advice (RA)

Claim Adjustment Group Codes - View claim adjudication message details

Denial Code Resolution - View most common claim submission errors with a description, solutions and ways to prevent these in the future

Electronic Remittance Advice (ERA) - View benefits of and details about receiving remits electronically

Medicare Remittance Advice - View Remittance Advice or Standard Paper Remittance (SPR) information

Medicare Summary Notice (MSN) - View MSN field descriptions that will help a beneficiary understand what claim is involved, types of service(s), supplier and other identifying information that explain payment and/or denial

Qualified Medicare Beneficiary (QMB) Program - View QMB program information and related remit advice remark codes.

Remittance Advice Field Descriptions - View Remittance Advice field headings and descriptions

WPC - Claim Adjustment Reason Code (CARCs) - Used to communicate an adjustment, meaning that they must communicate why a claim or service line was paid differently than it was billed

WPC - Remittance Advice Remark Codes (RARCs) - Used to provide additional explanation for an adjustment already described by a CARC or to convey information about remittance processing. Each RARC identifies a specific message as shown in Remittance Advice Remark Code List

Last Updated Apr 25 , 2024