835 Remittance Advices Reporting Co-pay Amount (TR 37889) and Cost of Care (TR 38519) as CO*96

December 10, 2013

Following a recent system upgrade, a defect has been discovered in the 835 reporting. The 835 is reporting the co-pay amount as a CO96; it should be reporting it as a PR3. This issue affects all 835s where a co-pay amount exists on the claim record. This defect has been corrected.

The 835 is also reporting the cost of care amount as a CO96 it should be reporting it as a PR142. This issue affects all 835s where a cost of care amount exists on the claim record. You may defer to the Remittance Advice for correct cost of care amounts. We are working to resolve this issue and will notify you when it has been corrected.