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PR96 for primary denials that need to go secondary

How to use PR96 for primary denied claims

Formula for PR96:

  • Insurance Payment Posting (Manually)

I = $0.00

Do not post adjustment

COB Tab

AA = $0.00

PR96 = Total Charge Amount

  • ERA Posting
    • PR96 in remittance preferences for the insurance category
    • PR96 setup in Adj table as Misc adjustment type
    • HIPAA Code is selected.
    • Post $0.00 Insurance Payment is selected.
    • PR96 will show as U which will put in the COB tab and because Post 0$ payment is selected it will also post the $0 payment in the control.