Processing and Reporting Remittance Information (HIPAA 835)

Outlines best practices to be followed by payers when creating an electronic Remittance Advice.

The Clarification about Overpayment Recovery (Takeback) discusses how the 835 is consistent with the Washington Administrative Code (WAC) when being used for notifying about takebacks and for the takebacks themselves

For providers: The Provider Workaround Guideline may help in COB situations when trying to determine the contractual write-off from the primary payer.

BPR Category
HIPAA Transactions
Legislation page
Legislative Section
Section 9 (1) (c)