835 Adjustments Grid

Understanding the 835 Adjustments Grid for Auto Posting Payments

Before proceeding with the application of payments and adjustments, it is essential to carefully choose the suitable action for each adjustment reason code. This will ensure that the payments and adjustments are efficiently grouped according to the group code, reason code, and processed status.

• Apply - Adjustments will be recorded with the corresponding dollar amount.
• Track - The adjustment will be recorded as $0.00 to serve as a temporary placeholder for adjustment tracking and convenient claim follow-up. The recorded adjustment description will include the dollar amount in the format $X.XX from the 835. This option is typically utilized when there is a denial and you need to mark the service line for follow-up.
• Ignore -This option is typically used when the EOB contains an adjustment amount that should not be posted because the funds will be provided by another party, such as copay or deductible-type adjustments.