PR/CO Qualifier Errors

When updating payments on the Edit Payment or Error Corrections page, users may be unable to save changes until the following requirements are met.

Requirements for PR and CO Adjustments Qualifiers

For each charge line:

  • If the Adjustment Qualifier field is set to PR (indicating patient responsibility), then there must be a value greater than zero in the Transfer Detail Amount field. 
    • If there is no Transfer Amount and no Adjustment Amount, update the Adjustment Qualifier field to NA.
  • If the Adjustment Qualifier is set to CO (indicating a contractual obligation), then either the Payment Amount or Adjustment Amount field must be greater than zero.
    • If there is no Payment Amount, Adjustment Amount, or Transfer Amount greater than zero, update the Adjustment Qualifier field to NA.

Error Resolution Examples

Let’s review some error messages you may receive when updating a transaction using Error Corrections and how to resolve them.

1) For CO qualifier, enter value in Adjustment Amt and/or Payment Amt

For this example, we have a 0.00 Payment Amt and a 0.00 Adjustment Amt. 

  1. You cannot save a charge line that has 0.00 Payment Amount, 0.00 Adjustment Amount, and a 0.00 Transfer Detail Amount with a CO Adjustment Qualifier.
  2. To resolve, update the Adjustment Qualifier field to NA

2) For CO qualifier, enter value in Adjustment Amount and/or Payment Amount

In this example, we have a Transfer Detail Amount that is greater than zero. However, the Payment Amount and Adjustment Amount fields are not greater than zero. 

  1. You cannot save a 0.00 Payment Amount and a 0.00 Adjustment Amount with a CO Adjustment Qualifier.
  2. Because there is a value greater than zero in the Transfer Detail Amount field, you should update the Adjustment Qualifier to PR.

3) For PR qualifier, enter a value in the Transfer Detail Amount

For this example, we have an Adjustment Amount with a PR qualifier. 

  1. You cannot save a $0 Transfer Detail Amount with the PR Adjustment Qualifier.
  2.  Because there is an Adjustment Amount, update the Adjustment Qualifier to CO.

4) PR/CO: Cannot Enter Value in Both Adjustment Amount and Transfer Detail Amount fields

For this example, we have an Adjustment Amount and a Transfer Detail Amount with a PR Qualifier.

  1. You cannot save a charge line if there is an Adjustment Amount and Transfer Detail Amount with a CO or PR modifier. 
  2. To resolve, choose a different qualifier or remove one of the values.
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