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Enable Service Supplemental Amount Logic - Registry Setting

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Avatar PM > Billing > Remittance Processing > 835 Health Care Claim Payment/Advice

'Y' enables the 'Use Service Supplemental Amount as the Line Item Provider Payment Amount' field in the '835 Health Care Claim Payment/Advice' form and the 835 section of the Guarantors/Payors form.

If Yes is selected in this field the following amounts can be posted: AMT*ZK (Federal Medicare or Medicaid Payment Mandate - Category 1), AMT*ZL (Federal Medicare or Medicaid Payment Mandate - Category 2), and AMT*ZM (Federal Medicare or Medicaid Payment Mandate - Category 3).

The following fields work in the Guarantors/Payors form (835 section):

  • Payment Posting Code, and Payment Reversal Code fields post AMT*ZK.
  • Payment Posting Code 2, and Payment Reversal Code 2 fields used to post AMT*ZL.
  • Posting Code 3, and Posting Reversal Code 3 post AMT*ZM.

The Payment Posting Code, and Payment Reversal Code fields are enabled through the Specify Posting Codes By Guarantor registry setting.

'N' disables the above logic and associated fields.