possible, it is not uncommon for a claim to be partially paid by a payer and then rebilled by the provider in an attempt to get the outstanding balance paid off.Trailer records are a subtle animal. They don't seem to do much, but in the world of medical billing and the electronic transmission of claims, trailer records can mean the difference between a whole claim file going through or being rejected like a bad virus. In this installment of our series on medical billing and electronic claims submission, we'll be continuing our review of the XA0 record, picking up with field number 18.

XA0 field 18, positions 120 - 126, is the total payer paid amount. This is the total amount of all claims being billed that have already been paid by the primary payer. For those wondering how this can even be possible, it is not uncommon for a claim to be partially paid by a payer and then rebilled by the provider in an attempt to get the outstanding balance paid off.

an mean the difference between a whole claim file going through or being rejected like a bad virus. In this installment of our series on medical billing and electronic claims submission, we'll be continuing our review of the XA0 record, picking up with field number 18.

XA0 field 18, positions 120 - 126, is the total payer paid amount. This is the total amount of all claims being billed that have already been paid by the primary payer. For those wondering how this can even be possible, it is not uncommon for a claim to be partially paid by a payer and then rebilled by the provider in an attempt to get the outstanding balance paid off.

ronic claims submission, we'll be continuing our review of the XA0 record, picking up with field number 18.

XA0 field 18, positions 120 - 126, is the total payer paid amount. This is the total amount of all claims being billed that have already been paid by the primary payer. For those wondering how this can even be possible, it is not uncommon for a claim to be partially paid by a payer and then rebilled by the provider in an attempt to get the outstanding balance paid off.

payer paid amount. This is the total amount of all claims being billed that have already been paid by the primary payer. For those wondering how this can even be possible, it is not uncommon for a claim to be partially paid by a payer and then rebilled by the provider in an attempt to get the outstanding balance paid off. possible, it is not uncommon for a claim to be partially paid by a payer and then rebilled by the provider in an attempt to get the outstanding balance paid off. In some cases, given the proper documentation, the remaining balance may be paid, but not often and certainly not always.

XA0 field 19, positions 127 - 133, is the total patient paid amount. This is the total amount of all claims being billed where the patient has made payments towards the claims themselves. This is mostly for the purpose of reimbursing the patient back on any claims where the services are covered. If they are not, then the patient is still responsible for the payments.

XA0 field 20, positions 134 - 140, is the total purchased services charges. This is the total charges for all purchased services. The reason