CSHCN 2009 > 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 R&S Report Examples 6-8

6.1.5.1 Banner Page 6-9

6.1.5.2 Claims - Paid or Denied 6-10

6.1.5.3 Adjustments 6-11

6.1.5.4 Accounts Receivable 6-12

6.1.5.5 Backup Withholding Penalty Information 6-13

6.1.5.6 IRS Levy Information 6-14

6.1.5.7 System Payouts 6-15

6.1.5.8 Manual Payouts 6-16

6.1.5.9 Refunds 6-17

6.1.5.10 Voids and Stops 6-18

6.1.5.11 Summary 6-19

6.1.5.12 Explanation of EOB Messages 6-20

6.1.5.13 Explanation of EOPS Messages 6-21

6.2 TMHP-CSHCN Services Program Contact Center 6-22