Monday, June 28, 2010

what is ANSI Group Codes

ANSI Group Codes

An ANSI Group Code is always shown with each ANSI reason code to indicate when you may or may not, bill a beneficiary for the non-paid balance of the services or equipment you furnished. Group codes are not used with Medicare Reference (REF) or Medicare Outpatient Adjudication (MOA) remark code entries.

CO -  Contractual Obligations
PR -   Patient Responsibility
OA -  Other Adjustment
CR -   Correction to or Reversal of a Prior Decision
PI - Provider initiated refund

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