export_informational_adjustment_details
export_informational_adjustment_details
Additional information related to non-balance-impacting adjustments made to a claim. Enables comprehensive denial analysis by tracing denials back to their original ERAs and charges.
Primary Key: adjustment_detail_id
Identifiers
Line-item details behind a payer adjustment (the rationale behind a specific claim adjustment / remark code). This is captured in the ‘i’ bubble on the service line in Candid
The Transaction ID for an adjustment
External Payment ID / Check Number
Patient ID within Candid
Unique ID associated with the encounter in the Candid system
Unique ID associated with the service line in the Candid system
Parent charge for the transaction, so it allows you to tie payments and adjustments to the original charge (billed A/R)
Organization
Organization’s unique ID in the Candid system
Organization Name
Organization’s External ID - the ID that the organization uses to map to their own upstream system
Claim Information
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)
The two-letter code that tells you who is responsible for the unpaid portion of a medical claim
Financial
Amount Cents
Other
Time at which the adjustment was posted
Time at which the adjustment was updated
Level of granularity of adjustment (provider, claim, or service line level). This can allow us to trace denials or adjustments made at a provider level, for example
Whether ERA was posted to Candid
Check Date
Date of when Payment was posted in Candid
Claim Adjustment Reason Code
Numerical code that tells you the reason for the adjustment
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