EDI Claim Error-Pmts Adj Pt Resp Does Not Balance to Zero
Reasons that Claims Don’t Balance Error Message Occurs
The signs in the transactions (-) may be incorrect
Must have patient responsibility lines
Adjustment Codes may not be mapped in the database to a CO 45 or PR code, will need to check with Development. Look at the adjustment code, is it a code that is not commonly used.
The Insurance that pays from the Primary must be the same insurance that is currently in the system. You can’t just delete, you should always terminate and add new insurance plans.
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