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Understanding Offset in Medical Billing

The document provides instructions for processing an offset claim and obtaining additional details about the claim if needed. If the provider on the offset claim is the same as the overpayment claim, a request is made for the EOB and overpayment statement. If the providers are different, a request is made to reprocess the claim and provide the claim number and reference number. Notes are posted and a follow up date is set.

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Keesha Mash
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81 views2 pages

Understanding Offset in Medical Billing

The document provides instructions for processing an offset claim and obtaining additional details about the claim if needed. If the provider on the offset claim is the same as the overpayment claim, a request is made for the EOB and overpayment statement. If the providers are different, a request is made to reprocess the claim and provide the claim number and reference number. Notes are posted and a follow up date is set.

Uploaded by

Keesha Mash
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

claim Processed and applied towards OFFSET

Get the processed date and CPT code

Get the AA and offset amount, Pt's resp (get the status of
remaining amount if Allowed amt is more than offset amount)

Get the details of overpayment claim( provider’s name,


patient's name, Account#, DOS, BA, AA, PA, chk#, chk info)

If Same provider
If different provider
Request for EOB and Overpayment
Request rep to reprocess statement
claim # & call-ref#
F/UP date

PC:
claim#, cal-ref# Suggest payment posting team to review the
overpayment statement and EOB / Adjust the
balance as offset
PC:
Post notes and set the follow up
date
May I get the clm processed date
May I get the AA and offset amount, Pt's resp
May I get the overpayment claim information like provider’s
name, patient's name, Account#, DOS, BA, AA, PA, chk#, chk info
I verified the provider are same so may I get the copy of EOB and
overpayment statement.
I verified and found both the providers are different, so could you
pls send the clm back for review.
May I get the claim# and call-ref#

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