Prime Clinical Systems, Inc.

3675 E. Huntington Drive

Pasadena, CA 91107

626.449.1705   

January 15, 2014

Dear Clients,  

Recently Prime Clinical Systems has seen in influx of calls in relation to new Reason Codes that are included in the Ansi 835 (a.k.a. ERA) files.

While your system has been set up with Reason Codes, when new Reason Codes are published, Prime Clinical Systems does not update the Reason Codes for each system.

When using Intellects AutoPayment feature, and in the 835/ERA, there is a new Reason Code which does not already exist, the Error report (generated whether or not the user posts or prints the report) will include a comment in the <Check/CCN> field 'Unknown reason'.

The 'new' Reason Code (example: CO257) will print at the bottom of the Error report as 'reason code does not exists in the system'.

To add the Reason Code, you must first identify what the Reason Code description is related to.  

Your office may access the Washington Publishing Company website for a list of claim adjustment reason codes via http://bit.ly/ZYvp9F, or contact your MAC payer for further information.

Once you have identified the new Reason Code completely, go to Intellect, Utility --►Message --►Reason Code and add the new code. Please click here for complete instructions from our online documentation.

Once the Reason Code has been added, your office may proceed with posting/processing the 835/ERA file.

Sincerely,

Prime Clinical Systems, Inc.

Support and Training