Medicaid EOB

aechaney1

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Hello I am a new coder, I have a question about Medicaid EOBs at the end this is what it says : PROV ADJ CODE1 & FCN/OTHER IDENTIFIER: CT<128402
Can some please help me with this. Thank you
 
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Hello I am a new coder, I have a question about Medicaid EOBs at the end this is what it says : PROV ADJ CODE1 & FCN/OTHER IDENTIFIER: CT<128402
Can some please help me with this. Thank you

I believe that's an adjustment due to capitation.
 

tpgrice

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Prov adj code1 & fcn/other identifier : Cs

My remit says " PROV ADJ CODE1 & FCN/OTHER IDENTIFIER : CS:8739588 AMT : -256.00 ".
I already know that is a $256 payment. My question is: what does the 8739588 mean? How do i know where the money should go. For example, is it an incentive pmt? Is it for a specific patient? Is it some sprt of capitation payment?
 
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