The following pages explain the most commonly used PLB codes (FB, WO, 72, IR, J1, L6 and CS) and provide details of the data found in corresponding Reference ID fields

Jul 9, 2025 · Recoupments are identified with the PLB reason code WO. Clarification of the PLB reason codes FB and WO are below. A Forwarding Balance is not a recoupment. It is notifying …

Below are additional details regarding adjustment codes that may appear in the PLB segment, in accordance with the requirements as specified within the Health Insurance Portability and …

The PLB adjustment reason codes WO and 72 do not have to be in the same PLB segment. There is no explicit rule or guidance in the 005010A1 TR3 guide to advise what type of adjustment …

PLB code reporting: The Remittance Advice (RA) reports payments and adjustments to payments at 3 levels:

Select the buttons below for more information on the most commonly used 835 adjustment codes. You will learn how it is used and helpful posting tips for each code.

Oct 21, 2021 · There are many possible PLB adjustment codes that can be included in remittances. Below is a table which references some of the more common examples of PLB …

In the example below, a refund is shown in the PLB segment with a negative value. To offset this amount, a PLB segment with a WO qualifier is then created so that the RA will balance.

To locate the overpaid claim(s) on the ERA associated with the overpayment recovery indicator (WO), isolate the Claim Payment Information (CLP) loops and look for the claim details that …

To locate the overpaid claim(s) on the ERA associated with the overpayment recovery indicator (WO), isolate the Claim Payment Information (CLP) loops and look for the claim details that …