A reason code is a brief description that is added to a transaction to explain how that transaction was handled. When ERA files are involved, the payer returns the reason codes in the file describing how a service was reimbursed. Reason code libraries group related reason codes together. For example, you can have a reason code library that contains the reasons that a claim can be cancelled.
- Open File Maintenance and select .
The Reason Code List window opens.
- Select the open menu button
to add or open an existing Places of Service library.
The Reason Code Library Maintenance window opens.
- Complete the fields to enter the reason codes into the library.
- Select the Next button to add a reason code to the library or select the OK button to modify an existing reason code.
