CAR (Claim Adjustment Reason) Codes are used if your practice processes EDI Remittance or you want to send secondary or tertiary claims electronically, and manually post insurance payments. These are the ‘REMARK’ codes referenced on EOB’s to further explain adjudication notations. This table allows for creating a description visible on the transaction when automatically posted. It also allows for ACTIONS to occur when the code is referenced on an EOB. Creating an automatic adjustment transaction or changing the status of an item to REVIEW is available. Viewing the Remark codes on past EOB’s will give the practice an idea of the codes used for your transactions in your practice.
Use Find to locate commonly encountered CAR Codes and then open the CAR Code form to edit settings (if the Remark Code starts with CO, PR, or OA, only type the corresponding number.)