What do those insurance codes mean?
2 Coinsurance Amount
3 Co-payment Amount
23 The impact of prior payer(s) adjudication including payments and/or adjustments. (Use only with Group Code OA)
27 Expenses incurred after coverage terminated
45 Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement
222 Exceeds the contracted maximum number of hours/days/units by this provider for this period.
226 Information requested from the Billing/Rendering Provider was not provided or not provided timely or was insufficient/incomplete.
CO Contractual Obligation
OA Other Adjustment
N10 Adjustment based on the findings of a review organization/professional consult/manual adjudication/medical advisor/dental advisor/peer review.
N517 Resubmit a new claim with the requested information.
N640 Exceeds number/frequency approved/allowed within time period.
N650 This policy was not in effect for this date of loss. No coverage is available.
PR Patient Responsibility