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he RA er, all states to interpret this docu Cla from state to state; however dif

ID: 126638 • Letter: H

Question

he RA er, all states to interpret this docu Cla from state to state; however differ sically the same information. It is the professional's responsibility to internalth reconcile it with patient records. AIL RAs should be maintained for 6 yea dated by state statutes of limitation. All Medic What Did You Learn? 1. Another name for an explanation of benefts 2. What two types of codes typically appear on an RA a(n) 3. True/False: While all state RA formats may be differe the information contained in it is basically the same SPECIAL BILLING NOTES The health insurance professional must keep several thin in mind when filing Medicaid claims, as described hete Accepting Assignment As mentioned previously, Medicai directly to the healthcare provider. Some Medicaid come tors require that "YES" is checked in Block 27. Y participating in Medicaid must accept the Medica bursement as paymen d payments are msa 27. Provides ent as payment in full Ralance hilling, billins

Explanation / Answer

Two types of codes typically appear on an RA:

Generally the MACs can send the Ras in either an electronic format paper format (SPR-Standard Paper Remittance Advice) or (ERA- Electronic Remittance Advice). Both the two formats can provide similar information, but the ERA can offer some data and administrative efficiencies, which was not present in an SPR. Ex: Electronically ERAs can be manipulated into a variety of report formats.