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This variable is contained in the following files:
SAS Name
REV_CNTR_ADJUST_GRP_CD
Claim adjustment group code used to categorize a payment adjustment for a claim or claim line. This field is currently only populated for Direct Contracting (DC), Comprehensive Kidney Care Contracting (CKCC) and Kidney Care First (KCF) model claims.
| Code | Code value |
|---|---|
| CO | Contractual obligation |
| OA | Other adjustment |
| PR | Patient responsibility |
This code set is an external code set maintained by X12 (www.x12.org/codes). This field is not populated prior to 2021.
Source: NCH