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.
