These statements show all service lines for your patient including the adjusted service lines.
The result line will show the difference between the original and revised service lines.
The following tables show the reason codes we use in adjustment statements. They include codes for:
- an underpayment
- an overpayment
- a statistical bulk bill adjustment.
Underpayment of the previous benefit paid
| Line | Reason code | Description |
|---|---|---|
| Original line | 888 | Details of previous Medicare assessment |
| Restated line | 816 | Details of revised Medicare assessment - underpayment |
| Result line | 861 | Adjustment of Medicare benefit previously paid |
Overpayment of the previous benefit paid
| Line | Reason code | Description |
|---|---|---|
| Original line | 888 | Details of previous Medicare assessment |
| Restated line | 818 | Details of revised Medicare assessment - overpayment |
| Result line | 819 | Overpayment of benefit recorded |
Statistical bulk bill adjustment
| Line | Reason code | Description |
|---|---|---|
| Original line | 888 | Details of previous Medicare assessment |
| Restated line | 821 | No change to original benefit - recorded for history purposes |
Contact the eBusiness service centre for more information.