Mass Adjustment Page

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Mass Adjustment Page

You use the Mass Adjustment page to add, or edit mass adjustment requests.

The Mass Adjustment page contains the following panels:

Request Information
Dates
Codes
Other
Claim Field Updates

Request Information Fields

Field	Description
Request Number	Number of the mass adjustment request. Automatically generated by ND MMIS.
Line of Business	The unique code that identifies the line of business, a high-level payer, or funding source such as Medicaid.
Batch Date	The batch creation date consists of the last two digits of the year and the day of the year. Format: YYDDD Example: February 1, 2011 is 11032.
Batch Number	The number assigned to the batch. The number uniquely identifies each batch of claim documents compiled on a given day. Format: NNNN Example: 9123
Request	Indicates whether the request is to void or replace the selected claims.
Payment	Indicates whether the request is to process the selected claims for payment or to update claim history only.
Claim Status	Indicates the status of the claim. Options are Paid/To be Paid, Denied/To be Denied, and Paid/To be Paid and Denied/To Be Denied). Only claims with the selected status are included in the mass adjustment.
Following Batch Cycle	Indicates whether to delete or retain the mass adjustment request after it has processed.
Has been Processed	Indicates whether the mass adjustment request has been processed. Automatically completed.
Total Claims Selected	Indicates the number of claims selected by the mass adjustment request, after it has been processed. Automatically completed.
Void/Replacement Reason	Indicates the reason for the void or replace.

Dates Fields

Field	Description
To add dates, click Add Date. To edit, in the Dates table, click the appropriate row.
Type	Indicates the type of date. Examples: Date of Service, Adjudicate Date, Payment Date
Lower Limit	First date in the range of dates to be selected for the mass adjustment request.
Upper Limit	Last date in the range of dates to be selected for the mass adjustment request. If the field is left blank, it is defaulted to the lower limit.

Codes Fields

Field	Description
To add codes, click Add Codes. To edit, in the Codes table, click the appropriate row.
Type	Indicates the type of code. Examples: Procedure Code, Modifier, Revenue Code
Lower Limit	First code in the range of codes to be selected for the mass adjustment request.
Upper Limit	Last code in the range of codes to be selected for the mass adjustment request. If the field is left blank, it is defaulted to the lower limit.

Other Fields

Fields	Description
To add other criteria, click Add Other. To edit, in the Other table, click the appropriate row.
Type	Indicates the type of selection criteria that is not a date or code. Examples: Claim Type, Member ID, Provider Type
Lower Limit	First value in the range of values to be selected for the mass adjustment request.
Upper Limit	Last value in the range of values to be selected for the mass adjustment request.

Claim Field Updates Fields

Fields	Description
Merge/Unmerge Member ID	Indicates the new Member ID to replace the current Member ID on the selected claims. Used to merge claims for a member that was erroneously assigned two separate IDs, or to unmerge claims for a member that was erroneously not assigned a unique ID.
FCN	The financial control number (FCN) assigned to the financial document. The FCN consists of the date it was created, the media source (how it was received), and a document number. Format: YYYYMMDDMNNNNN

Fields

Description

Merge/Unmerge Member ID

Indicates the new Member ID to replace the current Member ID on the selected claims. Used to merge claims for a member that was erroneously assigned two separate IDs, or to unmerge claims for a member that was erroneously not assigned a unique ID.

FCN

The financial control number (FCN) assigned to the financial document. The FCN consists of the date it was created, the media source (how it was received), and a document number.

Format: YYYYMMDDMNNNNN

Version as of 5/16/14.