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4 results for “835”
Transaction835 — Health Care Claim Payment/AdviceThe HIPAA X12 835 explains how a payer adjudicated a claim — what was paid, denied, or adjusted, and why — while optionally carrying the actual payment.QuestionGetting CARC 45 constantly on 835s from one payer — is this normal?We bill a specific payer regularly and almost every claim comes back with a CAS segment using group code CO and reason code 45. Payment is sGlossaryCARC (Claim Adjustment Reason Code)A standardized code used in the X12 835 to explain why a claim payment differs from the amount billed.GlossaryRARC (Remittance Advice Remark Code)A standardized code providing additional explanatory detail alongside a CARC in an X12 835 remittance advice.