Common use of Remittance Advice File Clause in Contracts

Remittance Advice File. The Department’s fiscal agent shall produce a Remittance Advice File (HIPAA 835) that itemizes all processed encounter records. The Contractor shall be responsible for accepting and processing a Remittance Advice (RA) File according to the HMO Systems Guide. The RA shall include the disposition (approved or denied) for each encounter record, along with the error(s) for every denied encounter record that the Division denied.

Remittance Advice File. The Department’s fiscal agent shall produce a Remittance Advice File (HIPAA HIPPA 835) that itemizes all processed encounter records. The Contractor shall be responsible for accepting and processing a Remittance Advice (RA) File according to the HMO Systems Guide. The RA shall include the disposition (approved or denied) for each encounter record, along with the error(s) for every denied encounter record that the Division denied.