The claims register lists the names and the addresses of the claimants, amounts of claims filed, and remarks.
Florida Claims Register - B 133
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FAQ
Your provider sends your claim to Medicare and your insurer. Medicare is primary payer and sends payment directly to the provider. The insurer is secondary payer and pays what they owe directly to the provider. Then the insurer sends you an Explanation of Benefits (EOB) saying what you owe, if anything.
OA-23. This code indicates the impact of prior payers' adjudication, including payments and/or adjustments. If you receive this code, you don't need to take any action, as the amount listed is equivalent to that allowed by the primary payer.
Remittance Advice Remark Codes (RARCs) are used in a remittance advice to further explain an adjustment or relay informational messages that cannot be expressed with a claim adjustment reason code. Remark codes are maintained by CMS, but may be used by any health plan when they apply.
MA30 = Missing/incomplete/invalid type of bill.
Revenue cycle starts with the appointment or hospital visit and ends when the provider or hospital gets paid fully for the services provided. The seven steps of revenue cycle include preregistration, registration, charge capture, claim submission, remittance processing, insurance follow-up and patient collections.
CO 16: Claim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims attachment(s)/other documentation. At least one Remark Code must be provided (may be comprised of either the NCDPD Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
113 Hospital continuing interim bill.
241 Low Income Subsidy (LIS) Co-payment Amount 242 Services not provided by network/primary care providers. 243 Services not authorized by network/primary care providers.
