Adjusted Payment and Paid Claims


What does adjusted payment mean?


What does "Adjusted Payment" in the lookup claim table mean?


A claim with 'adjusted payment' status means that it was processed by the MoH and but paid above or below the submitted value.  If you click on the claim/accounting ID, you are able to open the claim and confirm the amount paid.
You can review a detailed summary of a monthly payment by reviewing the claim summary payment report.
Go to Reports & Forms->Advanced Reports-> Claim Summary Payment->Select Month yr->submit
Please follow this link with information on Reconciliation about how to review this report. 

Also I have included a link to our reconciliation guide for your reference, more details on paid claims.
Reconciliation Manual



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