Medical Billing Forum

Billing => Billing => : TXBiller April 04, 2019, 11:00:53 AM

: Remaining Patient Liability is required
: TXBiller April 04, 2019, 11:00:53 AM
How do I resolve this?  I can't figure out how.  TIA

Remaining Patient Liability is required when Line Adjudication Information is not sent.  2320.AMT*EAF  The COB information does not balance.  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary claim.
: Re: Remaining Patient Liability is required
: Sriram_Sub April 05, 2019, 10:39:42 AM
Can you furnish what amounts / remark codes you see on the remittance and their break downs? Could not provide any help with the info you have already provided.
: Re: Remaining Patient Liability is required
: TXBiller April 08, 2019, 12:18:52 PM
This is what it said.  I copied and pasted it here.

Type:  OT01   

Remaining Patient Liability is required when Line Adjudication Information is not sent.  2320.AMT*EAF  The COB information does not balance.  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary clai  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary clai  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary clai  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary clai  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary clai  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary clai  Adjudication Date required either at the claim level or on all service lines for COB and Tertiary clai

: Re: Remaining Patient Liability is required
: Sriram_Sub April 08, 2019, 02:46:33 PM
It appears to be an electronic rejection message. Please correct me if I am wrong.

If it is,  then we should look at how the primary payment has been accounted in system and see the amounts accounted reconcile to the amount you billed. Again, just with the rejection message, we would not be able to determine anything. We should know the break down.
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