Understanding New Remittance Advice Refund Message

Beginning June 2020, the Remittance Advice (RA) will include a detailed explanation of any refund (Lump Sum / Miscellaneous Payment) issued to the provider. This message will be on the Financial Transactions page.

Providers are encouraged to review the refund message before contacting NCTracks as it will include the reason funds are being returned, original check number, check amount and TCN(s) if applicable.

There are various reasons a refund could be issued to a provider, including those described below:   

Note: The RA is a helpful resource that includes details on provider payments, claim adjustments and voids, negative balance adjustments and detailed claim and patient information. Providers should first refer to their RA for these types of information. Please note that if multiple individual claims apply to a refund, the RA refund message may be shortened.

This communication has also been posted as a Medicaid Bulletin. To see the bulletin, please visit the DHB webpage.