export_adjustment_details
export_adjustment_details
All information related to balance-impacting adjustments on a claim.
Primary Key: transaction_id
Identifiers
Unique Transaction ID
Parent charge for the transaction, so it allows you to tie payments and adjustments to the original charge (billed A/R)
Unique ID associated with the specific Payer Plan
Timestamps
Time when the adjustment transaction itself was updated
Timestamp of the most recently updated source record contributing to this row. Used to detect newly ingested or updated records for incremental processing.
Organization
User’s unique organization ID in the Candid system
User’s Organization / Company Name
Organization’s External ID - the ID that the organization uses to map to their own upstream system
Adjustment Details
Source of Adjustment (ERA, Manual Insurance Balance Adjustment, Patient Balance Adjustment, or Non-Insurance Payer Balance Adjustment)
Adjustment Reason / Write-Off Reason
Adjustment Reason Codes
Claim Adjustment Reason Code
The two-letter code that tells you who is responsible for the unpaid portion of a medical claim
Numerical code that tells you the reason for the adjustment
Additional, non-financial information about the processing of a claim to supplement or clarify the reason for a payment adjustment that is already identified by a Claim Adjustment Reason Code (CARC)
Derived Details
External Payment ID / Check Number
Whether ERA was posted to Candid
Check Date
Date at which the payment was posted
Date the associated payment was deposited
Payer of the 835 file / organization that issued the remit
The 2U segment code that is used to help specifically identify the insurance company that is underwriting what the payment is
X12 claim status code from the ERA (835) indicating the overall adjudication status of the claim (e.g., processed as primary, denied)
The payer’s internal reference number for the claim, as reported in the ERA
ID of the user who created the adjustment
Name of the user who created the adjustment
ID of the user who posted the ERA
Name of the user who posted the ERA