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What are Remittance Advice Details (RAD) codes?

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What are Remittance Advice Details (RAD) codes?

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The Remittance Advice Details (RAD) codes are provided for line-by-line reconciliation of transactions. Reconciliation of a RAD to a provider’s records will help determine which claims are paid, denied or not yet adjudicated. Medi-Cal claims appear first followed by Medicare/Medi-Cal crossover claims in this sequence: adjustments, approvals, denials, suspensions and accounts receivable (A/R) transactions. Explanations of RAD codes are found at the bottom of your RAD. For a complete list of RAD codes, refer to the Remittance Advice Details (RAD) Codes and Messages sections of the Part 1 Medi-Cal Program and Eligibility provider manual.

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