wa123

Hi All, I don't know if anyone will be able to help, but it never hurts to ask (usually). We have a payer that sends us both institutional and professional payments in a single 835.  We have proration rules setup for institutional portion, but not the professional portion.  Since the proration rules for the institutional portion adjust off X dollars _base_d on our contract we have setup our EDI Program to ignore the adjustments in the 835.   The only problem is that with this setup the professional charges are not getting their adjustments posted to the account.  As I said above, the professional charges do not get prorated, nor is the EDI Program posting adjustments. I need to know if anyone has ever encountered this scenario and if so, what was the solution? Thanks in advance for any personal experience you're willing to share. Michael D. Smith Financial Analyst Information Systems Meadville Medical Center 764 Kennedy Street, Suite 301 Meadville, PA 16335 (814) 333-5251 - Phone (814) 373-2155 - Fax This e-mail address is being protected from spam bots, you need JavaScript enabled to view it www.mmchs.org You can not escape the responsibility of tomorrow by evading it today. Abraham Lincoln Information Systems Mission Statement - To provide consulting to executives, management and end-users for the effective implementation and use of computer systems at Meadville Medical Center.