what does payer initiated reduction mean
(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. â¢ 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. What does code OA 23 followed by an adjustment amount mean? This code is used to standardize the way all payers report coordination of benefits (COB) information. Whenever COB applies, this code combination is used to represent the prior payerâs impact fee or sum of all adjustments and payments affecting the amount BCBSF will pay.