ServiceXG Basics

Make several adjustment update requests at once (batch)

To make multiple paid trading partner An entity which sends and/or receives electronic health care transactions (i.e.: provider, billing group, billing service, clearinghouse or payer.) claim adjustment requests, use the Batch Adjustment Request Update screen. From this screen you can either enter several claim refnos or use a list of claim refnos to adjust (see Reverse and void a claims batch).

The batch will automatically update the:

• Claim Payments—Adjustment Reason subtab information (Request Date, Reason, Operator, and Comment) for each claim. See Find a trading partner claim’s adjustment reason for more information.

• Adjustment viewport in the claims processing and information sessions (see Adjustments viewport field descriptions).

Access the Batch Adjustment Request Update screen

Go to: Home > Administration Processes > Claims Adjustments> Batch Adjustments

Create updates from a list

If you have already created a claims list, you can use that list for the adjustment update. To create a list, see Reverse and void a claims batch.

1. At prompt 1, enter L for List.

   Hint: Press Enter to move through the fields or after typing a command at the Select line.
2. At List Name, enter the name of the adjusted claims to update.
3. At Adjustment Reason, enter the adjustment code. If you don't know what code to choose, enter ALL to display a list of all available options to choose from. Then, enter the code's sequence number.
4. Enter an Adjustment Comment, if needed.

5. Press Enter and then type C to process the list. The results show on the screen.

   

   • The results include any updated refnos or refnos that weren’t updated along with a reason.

Update or adjust a manually entered claim list

You can update several claims, by entering the claim reference numbers.

1. At prompt 1 enter R for Refno.
2. Enter the Adjustment Reason code. If you don't know what code to choose, enter ALL to display a list of all available options to choose from. Then, enter the code's sequence number.
3. Enter an Adjustment Comment, if needed.
4. Next, enter each claim refno to update. When you're done, press Enter until you reach the Select line.

5. Type C to process the list. The results show on the screen.

   

   • The results include any updated refnos or refnos that weren’t updated along with a reason.

SEE ALSO