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Issue 2-April, 2005

Chapter 5. Billing Adjustment Request (BAR) Form

5.1Navigation Tip
5.2BAR Form Overview
5.3Carrier Dispute Section
  5.3.1Field-by-Field Instructions:
  5.3.2Date
  5.3.3New Dispute (Yes/No)
  5.3.4Carrier Claim/Tracking Number
  5.3.5Carrier Name
  5.3.6Service Type
  5.3.7Carrier (IXC) ACNA/CLEC/OCN
  5.3.8BAN/Q Account
  5.3.9End User Telephone Number (If Q Account)
  5.3.10BellSouth Circuit Number(s) BTN (If Q Account)
  5.3.11Amount Disputed
  5.3.12Recurring Charges
  5.3.13Non-Recurring Charges
  5.3.14Bill Date/Invoice Date or From & To Dates
  5.3.15Amount Withheld from Bill
  5.3.16BAN Number(s)/Q Account(s) Short Paid
  5.3.17Reason Amount Is In Question
5.4Disputing Carrier Contact Section
  5.4.1Field-by-Field instructions:
  5.4.2Name
  5.4.3E-Mail
  5.4.4Telephone #
  5.4.5Fax #
  5.4.6Address
5.5BellSouth Dispute Receipt Acknowledgment Section
  5.5.1Field Descriptions:
  5.5.2Date
  5.5.3BellSouth Audit Number
  5.5.4Contact Number and Name
5.6Dispute Rejection Section
5.7Billing Adjustment Response Section
  5.7.1Field Descriptions:
  5.7.2$ Amount Disputed
  5.7.3$ Credit
  5.7.4$ Debit
  5.7.5$ Denied
  5.7.6$ Additional Credit
  5.7.7$ Additional Debit
  5.7.8$ Net Credit/Debit
  5.7.9Invoice or Bill Adjust will appear on:
  5.7.10Bill Section Adjustment Will Appear
  5.7.11BAN Number(s)/Q Account(s)
  5.7.12Explanation
  5.7.13Service Rep
  5.7.14Telephone
  5.7.15Fax
  5.7.16Date
  5.7.17Closing Notes




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Last Updated: April, 2005