CSHCN 2008 > Remittance and Status (R&S) Reports

Remittance and Status (R&S) Reports

6.1 R&S Report Information 6-2

6.1.1 Banner Pages 6-2

6.1.2 Explanation of R&S Report Row Headings 6-3

6.1.3 Explanation of R&S Report Section Headings 6-4

6.1.3.1 Claims - Paid or Denied 6-4

6.1.3.2 Adjustments to Claims 6-4

6.1.3.3 Financial Transactions 6-5

6.1.3.4 Financial Transactions/Void and Stop - "Stale-Dated Checks" 6-7

6.1.4 Claims Payment Summary 6-7

6.1.4.1 Claims In Process 6-8

6.1.4.2 EOB and EOPS Codes Section 6-8

6.1.5 Corrections and Resubmissions (Appeals) 6-8

6.1.5.1 Electronic 6-9

6.1.5.2 AIS 6-9

6.1.5.3 Paper 6-9

6.1.6 R&S Report Examples 6-9

6.1.6.1 Banner Page 6-10

6.1.6.2 Claims - Paid or Denied 6-11

6.1.6.3 Adjustments 6-12

6.1.6.4 Accounts Receivable 6-13

6.1.6.5 Backup Withholding Penalty Information 6-14

6.1.6.6 IRS Levy Information 6-15

6.1.6.7 System Payouts 6-16

6.1.6.8 Manual Payouts 6-17

6.1.6.9 Refunds 6-18

6.1.6.10 Voids and Stops 6-19

6.1.6.11 Summary 6-20

6.1.6.12 Explanation of EOB Messages 6-21

6.1.6.13 Explanation of EOPS Messages 6-22

6.2 TMHP-CSHCN Services Program Contact Center 6-23