cverk wrote on Wednesday, October 06, 2010:
When you are manually applying payments, the button to calculate adjustments would be helpful, though I don’t quite know why it is labelled W. However if you actually use that adjustment, you will end up over-adjusting the claim by the amount of the copay already paid by the patient. Many medical office claims will have multiple CPT related charges for a given visit, and insurance usually applies the copay to the main E&M visit code, but will make an adjustment individually to each code billed. It would speed up payment application greatly to be able to apply the copay to a given CPT code and then put in the payments line by line using the W button to calculate each adjustment. I presume eventually after the ERA issue is worked out, this will be done electronically for most claims, but this will still come up periodically from smaller carriers.