Question

What does "Adjusted Payment" in the lookup claim table mean?

Answer

A claim with 'Adjusted Payment' status means that it was processed by the MoH but paid above or below the submitted value. If you click on the claim/accounting ID, you are able to open the claim and confirm the amount paid.

You can review a detailed summary of a monthly payment by reviewing the claim summary payment report.

Go to Reports & Forms->Advanced Reports-> Claim Summary Payment->Select Month yr->submit

If you don't believe you were paid accordingly, you can contact MOH at their toll free number 1-800-262-6524) for more clarification or submit RA inquiry.

Please follow this link with information on Reconciliation about how to review this report.

Also I have included a link to our reconciliation guide for your reference, more details on paid claims.
​Reconciliation Manual