{"id":1783,"date":"2024-12-06T16:34:34","date_gmt":"2024-12-07T00:34:34","guid":{"rendered":"https:\/\/www.qualityhealth.org\/adminsimp\/?page_id=1783"},"modified":"2024-12-06T18:30:24","modified_gmt":"2024-12-07T02:30:24","slug":"processing-and-reporting-remittance-information-hipaa-835","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/adminsimp\/processing-and-reporting-remittance-information-hipaa-835\/","title":{"rendered":"Processing and Reporting Remittance Information (HIPAA 835)"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<span style=\"font-family: georgia, palatino;\">Outlines best practices to be followed by payers when creating an electronic Remittance Advice.<\/span><\/p>\n<p><span style=\"font-family: georgia, palatino;\">The\u00a0<a href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/Clarifications_about_Overpayment_Recovery.pdf\" target=\"_blank\" rel=\"noopener\">Clarification about Overpayment Recovery (Takeback)<\/a>\u00a0discusses\u00a0how the 835 is consistent with the Washington Administrative Code (WAC) when being used for notifying\u00a0about takebacks and for the takebacks themselves<\/span><\/p>\n<p><span style=\"font-family: georgia, palatino;\">For providers:\u00a0The\u00a0<a href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/Provider_Workaround.pdf\" target=\"_blank\" rel=\"noopener\">Provider Workaround Guideline<\/a>\u00a0may help in COB situations when trying to determine the contractual write-off from the primary payer.<\/span><\/p>\n<p><strong>BPR Document<\/strong><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/Processing-and-Reporting-Remittance-Information.pdf\" target=\"_blank\" rel=\"noopener\">Best Practice Recommendation<\/a><\/p>\n<div id=\"block-ohp-sub-theme-content\" class=\"block block-system block-system-main-block\">\n<article class=\"node node--type-best-practice-recommendation node--view-mode-full\">\n<div class=\"node__content\">\n<div class=\"field field--name-field-bpr-file field--type-file field--label-above\">\n<div class=\"field__label\">\n<div class=\"field field--name-field-bpr-category field--type-entity-reference field--label-above\">\n<div class=\"field field--name-field-bpr-category field--type-entity-reference field--label-above\">\n<div class=\"field field--name-field-bpr-category field--type-entity-reference field--label-above\">\n<p><strong>BPR Category<\/strong><br \/>\nHIPPA Transactions<\/p>\n<\/div>\n<div class=\"field field--name-field-legislation-page field--type-entity-reference field--label-above\">\n<p class=\"field__label\"><strong>Legislation Page<\/strong><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/adminsimp\/essb-5346\/\">ESSB 5346<\/a><\/p>\n<p><strong>Legislative Section<\/strong><br \/>\nSection 9 (1) (c)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"field field--name-field-legislation-page field--type-entity-reference field--label-above\">\n<p><strong>Related Documents<\/strong><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/Posted-Trans-Validation-Worksheet_1.pdf\" target=\"_blank\" rel=\"noopener\">Transaction Validation Worksheet<\/a><\/p>\n<p><strong>Validation Findings<\/strong><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/adminsimp\/hipaa-transaction-bpr-processing-and-reporting-remittance-information-hipaa-835\/\" target=\"_blank\" rel=\"noopener\"> HIPAA Transaction BPR: Processing and Reporting Remittance Information (HIPAA 835)<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]Outlines best practices to be followed by payers when creating an electronic Remittance Advice. The\u00a0Clarification about Overpayment Recovery (Takeback)\u00a0discusses\u00a0how the 835 is consistent with the Washington Administrative Code (WAC) when being used for notifying\u00a0about takebacks and for the takebacks themselves For providers:\u00a0The\u00a0Provider Workaround Guideline\u00a0may help in COB situations when trying to determine the contractual&#8230;","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1783","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages\/1783","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/comments?post=1783"}],"version-history":[{"count":13,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages\/1783\/revisions"}],"predecessor-version":[{"id":1848,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages\/1783\/revisions\/1848"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/media?parent=1783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}