ANSI Group Codes
An ANSI Group Code is always shown with each ANSI reason code to indicate when you may or may not, bill a beneficiary for the non-paid balance of the services or equipment you furnished. Group codes are not used with Medicare Reference (REF) or Medicare Outpatient Adjudication (MOA) remark code entries.
CO - Contractual Obligations
PR - Patient Responsibility
OA - Other Adjustment
CR - Correction to or Reversal of a Prior Decision
PI - Provider initiated refund
An ANSI Group Code is always shown with each ANSI reason code to indicate when you may or may not, bill a beneficiary for the non-paid balance of the services or equipment you furnished. Group codes are not used with Medicare Reference (REF) or Medicare Outpatient Adjudication (MOA) remark code entries.
CO - Contractual Obligations
PR - Patient Responsibility
OA - Other Adjustment
CR - Correction to or Reversal of a Prior Decision
PI - Provider initiated refund