CLAIM ADJUSTMENT REASON CODES

A national administrative code set that identifies the reasons for any differences, or adjustments, between the original provider charge for a claim or service and the payer's payment for it. This code set is used in the X12 835 Claim Payment & Remittance Advice and the X12 837 Claim transactions, and is maintained by the Health Care Code Maintenance Committee.

Learn more about medical coding and billing, training, jobs and certification.

Which certification is right for you?

Call 877-290-0440 or have a career counselor call you.

Questions about what books to order?

Call 877-524-5027 to speak with a specialist.