Claims Terminology

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Across
  1. 3. A procedure to correct a processed claim that allowed at least 1 cent.
  2. 4. This recoupment happens when the amount overpaid is $110 or more.
  3. 5. This claim was processed but was not able to be paid (in part or in full).
  4. 6. This recoupment happens when the amount overpaid is less than $110.
  5. 8. This is the original claim when a claim has been split.
  6. 9. An adjustment where the entire claim payment must be resent.
Down
  1. 1. An adjustment that does not impact the final payment amount.
  2. 2. This claim could not be processed.
  3. 3. An adjustment that increases the total amount paid.
  4. 7. A request to refund an overpayment.
  5. 10. These claims were submitted as one but separated into two or more during processing.