Applying EOMB Codes for Billing Secondary Payers (SYSTOC_EDI)
Scroll to the right on the Pay Charges screen to see the EOMB fields. It is very important that the codes be entered in a particular manner so that they are included when billing the secondary payer via SYSTOC_EDI.
| If Line Item has... | EOMB1 Explains | EOMB2 Explains |
|---|---|---|
| Adjustment with remaining balance | Adjustment | Balance |
| No adjustment with remaining balance | Balance | Leave blank |
Note: It is very important that there is always a
code entered in an EOMB field even when the responsible party pays nothing on
the line item, denying payment for whatever reason. See
Payment Denied
for instructions.
We recommend that you add your Claim Adjustment Group and Reason codes in your EOMB table prior entering receipts and adjustments. The EOMB fields are drop-down choices on the Pay Charges screen and you cannot add codes on the fly. See EOMB Codes for set up instructions.