| UG-BDRG-001 Issue 2-April, 2005 |
CHAPTER 5.0 - Billing Adjustment Request (BAR) Form |
BellSouth is responsible for populating the BellSouth Adjustment Response Section. After comparing the dispute claim against its records, BellSouth makes a decision to accept or deny the claim. This section provides the carrier with information.
Note:
* For disputes submitted electronically (eBAR) see Electronic Billing Adjustment Request (eBAR) section.

The links below provide additional information on the fields contained within the Billing Adjustment Response Section of the BAR.
| Field Number | Field Name |
| 24 | $ Amount Disputed |
| 25 | $ Credit |
| 26 | $ Debit |
| 27 | $ Denied |
| 28 | $ Additional Credit |
| 29 | $ Additional Debit |
| 30 | $ Net Credit/Debit |
| 31A | Invoice or Bill Adjust will Appear on: |
| 31B | Bill Section Adjustment will Appear |
| 32 | BAN Number(s) / Q Account(s) |
| 33 | Explanation |
| 34 | Service Rep |
| 35 | Telephone |
| 36 | Fax |
| 37 | Date |
| 38 | Closing Notes |
| Field Name | $ Amount Disputed |
| Field Number | 24 |
| Required Field | No |
| Field Description | Amount Disputed in U.S. Dollars (This is the same amount as in field #9) |
| Format: $1,234.56 |
| Field Name | $ Credit |
| Field Number | 25 |
| Required Field | No |
| Field Description | The amount credited* to the carrier on the disputed items (if valid) in U.S. Dollars. |
| Format: $1,234.56 | |
| * $0.00 is posted if no adjustment is issued. |
| Field Name | $ Debit |
| Field Number | 26 |
| Required Field | No |
| Field Description | The amount debited to the carrier on disputed items or where BellSouth identifies items were not billed to the carrier in U.S. Dollars. |
| Format:$1,234.56 |
| Field Name | $ Denied |
| Field Number | 27 |
| Required Field | No |
| Field Description | The amount denied on the dispute. |
| Format: $1,234.56 |
| Field Name | $ Additional Credit |
| Field Number | 28 |
| Required Field | No |
| Field Description | The amount credited to the carrier when a dispute investigation identifies additional items billed in error (if valid) in U.S. Dollars. |
| Format: $1,234.56 |
| Field Name | $ Additional Debit |
| Field Number | 29 |
| Required Field | No |
| Field Description | The amount debited to the carrier on disputed items or where BellSouth identifies additional items were not billed to the carrier in U.S. Dollars. |
| Format: $1,234.56 |
| Field Name | $ Net Credit/Debit |
| Field Number | 30 |
| Required Field | No |
| Field Description | The total debit/credit applied to the dispute. |
| Format: $1,234.56 |
| Field Name | Invoice or Bill Adjust will appear on: |
| Field Number | 31A |
| Required Field | No |
| Field Description | The Bill Date or Invoice Date a Debit or Credit adjustment appears, if one was issued. |
| Format: YYYY/MM/DD |
| Field Name | Bill Section Adjustment Will Appear |
| Field Number | 31B |
| Required Field | No |
| Field Description | The section of the bill where the adjustment appears. The valid values are OCC or MRC, both three (3) character fields. |
| Field Name | BAN Number(s)/Q Account(s) |
| Field Number | 32 |
| Required Field | No |
| Field Description | BAN Number(s) / Q Account(s) where credit or debit appears. |
| Field Name | Explanation |
| Field Number | 33 |
| Required Field | No |
| Field Description | Detailed Explanation of investigation for Rejection, Adjustment or Denial of the dispute. Includes information relating to Tariff or Contract Reference, Bill Validation or other supporting information. References to attachments such as spreadsheet or other document are highlighted in this section. If applicable, the date that the customer should see the adjustment on their bill is included. |
| Field Name | Service Rep |
| Field Number | 34 |
| Required Field | Yes |
| Field Description | Name of the BellSouth Service Rep completing the investigation and processing the credit or debit on the dispute. |
| Field Name | Telephone |
| Field Number | 35 |
| Required Field | No |
| Field Description | Toll Free Number of the BellSouth Center resolving the dispute. |
| Field Name | Fax |
| Field Number | 36 |
| Required Field | No |
| Field Description | Fax Number of the BellSouth Center resolving the dispute. |
| Field Name | Date |
| Field Number | 37 |
| Required Field | No |
| Field Description | The date BellSouth has completed the dispute investigation and sent the resolution to the disputing carrier. |
| Format: YYYY/MM/DD |
| Field Name | Closing Notes |
| Field Number | 38 |
| Required Field | N/A |
| Field Description | BellSouth now considers this dispute closed. The Customer must reply within five (5) business days if they do not concur with BellSouth's findings. If they fail to reply within five (5) business days, BellSouth will consider the dispute Closed and Concurred. The carrier should remit all Undisputed monies to BellSouth. |
Last Updated: April, 2005 |