If you are currently enrolled to receive Electronic Remittance Advice (835), this enhancement will result in additional data you receive via 835 transaction on corrected claims.
The following is an example of the update:
CAS*CO*45*39.84~ REF*6R*54321~ AMT*B6*209.16~ LQ*HE*N381~ PLB*1902J27772*20201T31*WO:11113944X000 10799X7420*216.25~ SE*70*0002~GE*2*3490~ IEA*1*000059014~
Beginning August 16, 2020, the 835 Provider-Level Balance (PLB) segment sent on an adjustment will have the provider's patient account number added to the 835 PLB segment. This enhancement will enable providers to track and post to the patient more easily. No existing data will be removed or changed. The only change is that we have added this additional field containing patient account number to the existing 835 PLB segment.
If you are not currently enrolled to receive 835 ERAs and are interested in doing so, please fill out the ERA and EFT Authorization Agreement.
Please reach out to your Provider Service Representative with any questions you may have.