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Adjusted Payment and Paid Claims

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What does adjusted payment mean?

Question

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

Answer

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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