Error Message

Remaining Patient Liability is required. Segment AMT (Remaining Patient Liability) is missing.

Description

This error is found in the Electronic Module on a Batch Reference Report and indicates that the claim is being submitted to a non-primary payer and is missing the patient responsibility charge in the COB.

Resolution

Go to the Electronic Module.
Locate the invoice with the rejection.
Click on the Invoice number link.
- The Invoice Window will open.
Proceed to the scenarios listed below.

Is this payer truly the secondary payer for this client? If yes, verify the following

Double-click on the service line to open the Change Time Window.
Check the payer field.
- The Payer drop-down should reflect the same payer that the claim is being submitted to, if not, update the payer field to match the payer listed on the invoice.
  
  NOTE: The payer may have been changed by a staff causing this discrepancy between the payer billed on the invoice and the payer listed in the Change Time Window, Payer drop-down menu.

- The payer listed in the Payer field should be the client's secondary or non-primary payer, if not, update the client's order of payers in the Clients Module > Payers tab.
Click Save if changes were made in the Change Time Window.

Did the primary payer charge the client a portion of the bill?

Click once on the service line to highlight.
Click Payments at the bottom of the Invoice Window.
Review the Payments Module for a charge made by the primary payer to the client.
- You may want to view the ERA or EOB as well for confirmation of the patient's responsibility.

Verify that the COB tab has been properly completed.

Double-click on the service line to open the Change Time Window.
Click the COB tab.
A Patient Responsibility line should appear in the CAS Group Code section with a valid CARC code.
- CARC codes charged by a primary payer can be found on an ERA or EOB.
- Valid CARC codes can be found on the Claim Adjustment Reason Codes list.
Click Save if changes were made in the Change Time Window.
Once all scenarios above have been reviewed and updated, resend the claim.