Claim Adjustment Reason Codes FAQ

Claim adjustment reason codes communicate an adjustment, meaning that they must communicate why a claim or service line was paid differently than it was billed. If there is no adjustment to a claim/line, then there is no adjustment reason code.

• What is a Claim Adjustment Group Code?
• What do the Start, Last Modified, and Stop dates mean?
• Where are they used?
• How are they maintained?
• Who maintains the list?
• Where are the committee's minutes?
• How do I request a change?
• How do I monitor my change request?