Adjusted and Then Accepted for Payment

20.3.2.2 - Adjusted and Then Accepted for Payment (Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18) The deductible and/or payment limitations field(s) on the claim record were in error and CWF recalculated the field(s). The Host posts the record to CWF after these corrections are made. The MAC must make the same adjustments to its files using information from basic reply Trailers 07 and 11 and pay the claim accordingly. MACs must not resubmit the claim to CWF. • Disposition code 02 • Basic Reply Trailers (07 and 11) • A/B Crossover Alerts