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CommercialAdministrativeMedium impact

Update to Medical Mutual’s PLB Segment Within the 835 Transaction

Medical Mutual of Ohio·In the News
Effective date
Mar 31, 2023
We identified it
Jun 20, 2026
Days to comply
—

Summary

Medical Mutual updated their PLB segment in 835 transactions to include unique identifiers for offset claims and added Forward-balancing segments for partial offsets. This change enables automatic posting of recoveries instead of requiring manual intervention.

Action Required

Action needed
Immediately: Billing team must update EDI processing system to handle new PLB segment format with unique identifiers and Forward-balancing segments from Medical Mutual. Configure auto-posting rules for recoveries to take advantage of new functionality and reduce manual posting requirements.

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