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

February 21, 2014

On December 10, 2013, we sent the following listserv message:

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.

Both TR 37889 and TR 38519 have been corrected and the 835 Remittance Advice should now report the correct co-pay and cost of care.