What is a category CO, OA, PI & PR?

Please find the below meaning for categories:

  • CO (Contractual Obligations) is used when a contractual agreement between the payer and payee or a regulatory requirement requires an adjustment. Generally, these adjustments are considered a write-off for the provider.
  • OA (Other Adjustments) is used when no other group code applies to the adjustment.
  • PI (Payer Initiated Reductions) is used by payers when it is believed the adjustment is not the responsibility of the patient but there is no supporting contract between the provider and payer.
  • PR (Patient Responsibility) is used for deductible and copay adjustments when the adjustments represent an amount that should be billed to the patient or insured.

 It will affect the balance if you select the incorrect one so please select the right categories corresponding to the reason code which you used.

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