|317||12/6/2021||Legislative / Regulatory Issues||New||Pending|
Claim Adjustment Group Codes
These codes categorize a payment adjustment.
The list below shows the status of change requests which are in process.
Each request will be in one of the following statuses:
The request has been submitted but is not yet under review.
Staff has looked at the request to ensure it's a legitimate request (not spam), that it is assigned to the correct CMG, and that all required information is present.
- In Process
The CMG has initiated their decision process.
- On Hold
The CMG has initiated their decision process but cannot complete it at this time.
- CMG Approved
The CMG has considered and approved the request, this does not mean it was approved exactly as submitted, it means maintenance related to the request was approved. Requests in this status will be applied to the next version.
- CMG Disapproved
The CMG has considered and disapproved the request, no maintenance action will occur. Requests in this status are complete/final.
|CO||Contractual Obligation |
|OA||Other Adjustment |
|PI||Payor Initiated Reduction |
|PR||Patient Responsibility |