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Iowa Medicaid Alpha Character

Jolene Posted Mon 09th of December, 2013 19:06:47 PM

"I called Iowa Medicaid Provider Services first and the provider service agent could not find an answer for me, so here goes: On an Iowa Dept. of Human Services Medicaid EOB there is an alpha-character just before the EOB denial reason codes are listed. It appears below and to the right of the patient's medical record number. On our EOB the alpha-characters have been "X" "F" "S" "K" etc. Can you please tell me what these letters are for? Thank you.

SuperCoder Answered Mon 09th of December, 2013 20:12:45 PM

http://www.dhs.state.ia.us/policyanalysis/policymanualpages/Manual_Documents/Provman/lead.pdf

From the above document it looks like: F=Run Date. Date the Remittance Advice was created. K=Billed Amount of all Claims. Total dollar amount of claims billed for each defined status. S=Total Other Sources. Total third party insurance payments within same claim type or status. X=Copay Amt. Total copayment amount within same claim type or status.

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