Which statement about the Remittance Advice and cross-payer reconciliation is accurate?

• A. It lists only denial codes.
• B. It details payments, adjustments, and patient responsibility across payers.
• C. It sets future pricing.
• D. It is used for patient communication.

Answer: (B)

Remittance Advice is the payer’s detailed record of how a claim was adjudicated, showing exactly what was paid, what adjustments were applied, and what portion is the patient’s responsibility. This level of detail is what makes cross-payer reconciliation possible: you can match each payment and adjustment from each payer to the corresponding charge on the patient’s account, ensuring the totals align and the patient balance is accurate. It supports updating the provider’s accounts receivable with precise figures for payments, write-offs, and patient responsibility across multiple payers.

Other options don’t fit because a remittance advice is not limited to denial codes, it doesn’t establish future pricing, and while it may inform patient communications, its primary purpose is internal reconciliation and accurate posting to patient accounts.