Denial code · Other Adjustment (OA)
OA-23 denial code
An earlier payer's decision changed what this payer owes.
What the code means
Official meaning: The impact of prior payer(s) adjudication including payments and/or adjustments. (Use only with Group Code OA)
In plain words: An earlier payer's decision changed what this payer owes.
The usual fix
Check the earlier payer's reply and what it paid or changed, send the claim to this payer with that reply, and ask it to look again if the amounts do not line up.
This is general information, not advice on a specific claim.
Learn on the job
Learn on the job with real denied claims.
Working denied claims is the medical claims desk's daily work. Read a code, find what is missing, fix the claim, or write the appeal.