Claim Adjustment Group Codes

X12 External Code Source 974

These codes categorize a payment adjustment.

Last updated: 5/17/2018

Code Lists

Maintenance Request Status

The list below shows the status of change requests which are in process.

Each request will be in one of the following statuses:

Received
The request has been submitted but is not yet under review.
Triaged
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.

Num.	Date	Requested Description	Type	Code	Status
No current requests. This list has been stable since the last update. It will not be updated until there are new requests.

Maintenance Request Form

Use the form below to request maintenance to the Code List. Maintenance includes a request for a new code, a revision to the description of code, or deactivation of a code.

Note The information submitted on this form may be edited for clarity or accuracy during the X12 triage and consideration processes. Fields marked with an asterisk are required. Existing Code is required on requests for revision or deactivation of a code.
* Name
* Phone
* Email
* Request Type	Select one of the above options.
Existing Code
	* Brief description, published with the Code
	Extended description, published with the Code
	* Include the business justification for this maintenance request here, including who would benefit and the circumstances that make the request appropriate or necessary.
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List

CO	Contractual Obligation Start: 05/20/2018
OA	Other Adjustment Start: 05/20/2018
PI	Payor Initiated Reduction Start: 05/20/2018
PR	Patient Responsibility Start: 05/20/2018