Post PR (Patient Responsibility) Codes

Post PR (Patient Responsibility) Codes

Post a PR Transaction Code instead of a CO 

In some cases, the balance from the Primary Insurance needs to go to the Secondary Insurance for payment consideration, but a Primary CO adjustment code will write off the balance.

 

Example:

The Primary Insurance adjudicated a CO123 which would write off the Balance.

  1. On the Manage Electronic Remittance Item screen, select the Post Expert button.

  1. In the Pop-up, select the CO Code that needs to be deleted.

  1. Select the OK button.

  1. In the Transaction Code field, enter a PR Transaction Code, such as PR2. You can also use the original Code number with the PR, such as PR123 if it is available.

  1. Enter the Amount.

  1. Select Save[F2].

 

PR Code posted in Error 

If a PR Code was posted in Error, you cannot adjust it off using the Adjustment option on the Encounter Dashboard.

  • Post Expert must be used for the correction. 

 Use Post Expert to Correct a PR Code 

  1. On the Original Insurance Receipt screen, select the Post (Expert Mode) button.

 

 

  1. Select the Encounter line item.

  1. Transaction Code: Enter the PR code to delete, such as PR45.

  1. Enter the negative of the original amount posted.

    • Ex: 25.00 is the original amount entered for the PR45.

      • Enter -25.00.

  1. Select Save [F2].



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