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 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.
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- 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.