PR and CO Qualifier Errors

When updating payments on the Edit Payment or Error Corrections page, users may be unable to save changes until the following new requirements are met.

Requirements for PR and CO Adjustments Qualifiers

For each charge line:

  • If the Adjustment Qualifier field is set to PR (indicating patient responsibility), then there must be a value greater than zero in the Xfer Det Amt field. 
    • If there is no transfer amount and no adjustment amount, update the Adj Qual field to NA.
  • If the Adjustment Qualifier is set to CO (indicating a contractual obligation), then either the Payment Amount or Adjustment Amount field must be greater than zero.
    • If there is no Payment Amount, Adjustment amount, or transfer amount greater than zero, update the Adj Qual field to NA.

Error Resolution Examples

Let’s review the solutions to error messages you may receive when updating a transaction using Error Corrections and how to resolve them.

1) For CO qualifier, enter value in Adjustment Amt and/or Payment Amt

For this example, we have a 0.00 Payment Amt and a 0.00 Adjustment Amt. 

  1. You cannot save a charge line that has 0.00 Payment Amt and a 0.00 Adjustment Amt with a CO Adj Qualifier.
  2. To resolve, update the Adj Qual field to NA

2) For CO qualifier, enter value in Adjustment Amt and/or Payment Amt

In this example, we have a Xfer Det Amount that is greater than zero, however, the Payment Amt and Adjustment Amt fields are not greater than zero. 

  1. You cannot save a 0.00 Payment Amt and a 0.00 Adjustment Amt with a CO Adj Qualifier.
  2. Because there is a value greater than zero in theXfer Det Amt field, you should update the Adj Qual field to PR.

3) For PR qualifier, enter value in Xfer Det Amt

For this example, we have an adjustment amount with a PR qualifier. 

  1. You cannot save a 0 Xfer Det Amt with the PR Adj Qual.
  2.  Because there is an Adjustment Amt, update the Adj Qual to CO. Remember, lines will move into a different order as you make corrections and save them.
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