Executive summary. A remittance advice explains how a payer processed the claims you submitted, and it is the natural starting point for follow-up.
Definition
A remittance advice is a notice that reports payment, denial, and adjustment information for healthcare claims.
Where this work lives in Attergo
The Attergo Billing Dashboard, Encounters, Claims Queue, Eligibility Workspace, Submissions, Denials, and Payment Posting follow the work from service through to payment. Start at the encounter or claim in question, record the next action there, and let the queue carry what is still unresolved.
The notice can show approved amounts, patient responsibility, payment amounts, and reason codes. Read past the deposit total. The detail is what tells you which individual claims need explanation or action.
Review and follow up
Read reason and remark codes against their official definitions. When a code keeps appearing and stays unclear, take examples to the payer, the clearinghouse, or a billing specialist rather than relying on an informal translation.
Final decisions stay with the role your organization holds accountable for them. Record the decision on the item, with the evidence behind it, so the next person to open it does not start over.
Frequently asked questions
Who should use this Attergo workspace?
The role that owns the next action leads it: a billing specialist, an authorization coordinator, an inventory lead, a pharmacist, a compliance lead, or a finance reviewer. Access follows the role your organization assigns.
Referenced standards and further reading
- CMS: Electronic remittance advice ↗Centers for Medicare & Medicaid Services
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