Description

Screen to register the insurance company paid checks, manage the dispute claims and access the electronic payment vouchers (835). 






Access

Go to Billing, press the Reconcile button.  Then press the Add Payment button. 

 

Sections

 

  • Buttons
    • Refresh: 
    • Payer Summary: Displays the aging an summary of payer.
    • Dispute: Displays the Dispute screen to manage the dispute claims.  
    • Vouchers: Displays the Electronic Payment Vouchers screen to manage the electronic payment. 
    • Lock: Allows to mark the payments and related claims as closed. Once closed user can not add or delete services either change amounts.
    • Print: Allows to print the report payment detail. User must save before printing. 
    • Save:
    • Close: Closes screen. 
  • Payment Details
    • Type: 
    • Status: New, reviewing or closed. 
    • From (Payer): Name of insurance company. 
    • To (Order of): Name of the provider wish will be issued payment. 
    • Image(Check): Allows to browse, scan or capture check image. 
    • Gross Amount: Check gross amount.
    • Reference / Check No':
    • Payment Date: 
    • Payment Retentions: 
    • Notes: Allows to write notes related to payment.
  • Adjudications Panel: Area with the amount paid by service from the insurance.
    • All: By selecting all claims will be displayed. 
    • Adjusted: By selecting displays all claims adjusted. 
    • With Secondary: By selecting displays all the claims with secondary claim. 
    • Adjust Reason: User can select the reason of adjust. 
    • Claim #: Number of claim. 
    • Procedure: Procedure number code.
    • Billed: Amount billed to insurance.
    • Adjusted: Payment adjustment amount. 
    • Deductible: Amount of deductible paid by patient. 
    • Delete: Allows to delete claims.
    • Record: Total records displayed to be adjusted. 
    • Use Reconcile Panel: By selecting allows to change the claims status. 
  • More Information
    • Net Amount: Net amount of the insurance payment. 
    • Adjudicated: Adjudicate amount of the insurance payment. 
    • Remaining: The remaining amount of the insurance payment. 
  • Unpaid Claims - (Select Services to Adjudicate): Displays the pending claims to adjudicate payment. 
  • Legend of claims status:
    • Transmitted
    • TransAccepted
    • Disputing
    • Error
    • Secondary
    • Rejected
  • Record(s): Total unpaid claims displayed. 
  • Restore Layout: