Rules for automatically adjusting off non-covered procedures (allowed amount = 0) can now be triggered by a Denial Code.   The rule is specified by a denial code and must include one or more of the following:  Financial Classes or Insurance Plans and procedures.  The adjustment message is required and will be stored and viewable in the e-medsys “View ERA” and also in the Remittance Workscreen as “Informational” allowing the user to quickly see which non-covered charges were adjusted off during the remit process.

Remit workscreen -  Adjust message displayed as informational

View ERA - Informational message stored: In this example the non covered charge with denial code “C0-97” was automatically adjusted off during the remittance process.