What is PLB Reason Code 72?
Used to report the dollar amount returned by the provider of service for a previous overpayment. Used to report a voided check. When reporting a voided check, the Reference ID in the PLB 72 is the voided check number.
What is a Medicare FCN number?
A Medicare FCN number is a Financial Control Number that is used to coordinate the handling of Medicare overpayments. The FCN associates an offset, the Remittance Advice and the DCN on the initial demand letter.
What is a C5 adjustment code?
C5 – Temporary Allowance This code is used to inform you that we have identified an overpayment of less than $50. We recommend checking your books to confirm details. You may elect to submit a refund to BCBSIL. If you disagree, overpayment disputes/appeals must be submitted within 90 days from the date of the report.
What does J1 mean on a Medicare remit?
FB. Used to reflect a balance being moved forward to a future remit or a balance that is brought. forward from a prior Medicare Remittance Advice (RA) J1. Used when the service provider is also the employer group and they request that monies be.
What is J1 on Medicare remit?
Could you explain what this message means? Remark code J1 indicates that Palmetto GBA no longer considers that service to be an overpayment. This remark code shows that we are changing the “status” of that service from “overpayment” to not an overpayment. The J1 message informs you that payment has been suppressed.
What is FB on Medicare remittance?
Forward Balance (FB) The FB amount does not indicate funds have been withheld from the provider’s payment for this remittance advice. It only indicates that a past claim has been adjusted to a different dollar amount.
What does adjustment code FB mean?
Forward Balance
Provider Level Balance (PLB) Reason Code. Forward Balance (FB) The FB amount does not indicate funds have been withheld from the provider’s payment for this remittance advice. It only indicates that a past claim has been adjusted to a different dollar amount.
What does FB mean on a Medicare remit?
Forward Balance (FB) The FB amount does not indicate funds have been withheld from the provider’s payment for this remittance advice. It only indicates that a past claim has been adjusted to a different dollar amount.
What does PLB 835 mean?
Provider-Level Balance
Provider-Level Balance (PLB) Supplement to the Electronic Remittance Advice 835 Transaction Companion Guide. The PLB segment is used to transmit information about Provider-Level Adjustments – that is, payments and debts that are not specific to a particular claim or service.
When to use the FB modifier in CMS?
Effective January 1, 2006, modifier –FB is used to indicate that an item used in a procedure was furnished without cost to the provider, and, therefore, it is not being charged to Medicare or the beneficiary. More information on billing HCPCS modifier –FB can be located in Chapter 4, §20.6.9 and 61.3.1 of this manual.
When to use FB, Wo, J1, L6, CS adjustment codes?
• Use the Reference ID to identify the claim. Exceptions are the FB, IR, J1, L6 and CS adjustment codes (when used for provider write-off only). The following pages explain the most commonly used PLB codes (FB, WO, 72, IR, J1, L6 and CS) and provide details of the data found in corresponding Reference ID fields.
What does FB stand for in remittance advice?
Provider Level Balance (PLB) Reason Code Forward Balance (FB) The FB amount does not indicate funds have been withheld from the provider’s payment for this remittance advice. It only indicates that a past claim has been adjusted to a different dollar amount. The FB indicated does not change the amount of the payment for this remittance advice.
What does FB stand for in demand letter?
Roll over this box to view a sample demand letter attachment. Provider Level Balance (PLB) Reason Code Forward Balance (FB) The FB amount does notindicate funds have been withheld from the provider’s payment for this remittance advice. It only indicates that a past claim has been adjusted to a different dollar amount.