The following example shows the activity detail for a service fee line item:
The activity detail shows the service fee (SVCFE) of a procedure, the claim (CLAIM-E/CLAIM-P) submitted to the payer, two types of payments that were recorded: guarantor (GPYMT) and insurance (IPYMT), and the balance (BALANCE) as a result of these transactions. Notice that the SVCFE entry is the parent activity code to the claim and payments. These activity codes are nested beneath the service fee line item.
All other transactions are listed under its parent service fee line item, for example, miscellaneous adjustments. This activity type can be either the MADJN or MADJP activity code and is recorded based on the negative or positive affect the adjustment has on the account. These activity codes have unique transaction codes that specify the adjustment activity and its effect on the account.
If a referring physician has been recorded on the case, the name of the referring physician will also be listed in the details of the service fee (SVCFE) line.