Spenddown Patient Liability Amounts Not Reflected on Paper Remittance Advices (RA), TR 31526

April 9, 2013

An issue has been identified where paper RAs are not reflecting the patient liability amount of spenddown claims. When spenddown claims process, there should be a patient liability amount reflected with a Claims Adjustment Reason Code of 142: Monthly Medicaid patient liability amount. We are working to resolve this issue and will notify you when it is corrected. If you have access to electronic 835s, they are displaying the correct information and you will be able to identify the patient liability amount. If you do not have access to electronic 835s, you can call the Provider Call Center at (866) 690-5585, for patient liability amounts until the issue with the paper RAs can be corrected.