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- From time to time, insurance companies will ask you to reimburse them for an overpayment. Sometimes, the company will ask you to send them a refund check. Sometimes, they will underpay you for more recent charges in order to make up for the overpayment on an old charge.
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- Once you have created a Contract Fee Schedule, added allowable amounts, and assigned the schedule to insurance plans, you can post payments and automatically compare them with to contract allowed amounts.
- After a payer reviews your electronic claim, they will send your practice an explanation of what charges are paid, adjusted, or denied. On paper, this information arrives as an Explanation of Benefits (EOB) and a check. The electronic version of an EOB is called an Electronic Remittance Advice, or ERA. An ERA usually arrives in coordination with a direct deposit to your practice's bank account. You can use PCC software to post payment and adjustment information from both ERAs and traditional EOBs.
- Occasionally, insurance carriers will pay you interest for charges they have failed to pay in a timely manner. How can you record that interest in Partner, without throwing off your Accounts Receivable? An interest payment is unexpected revenue that should not be posted against the original charges. Is there a "correct" way of keeping track of the income in Partner? The procedure below will teach you one common method.
- Run the Autopost (
autopip) program to post payments and adjustments from insurance payors. If a payor does not send electronic remittance advice (ERAs) to your practice, or an unusual response could not be posted automatically, you can run the Post Insurance Payments (
pip) program to record payment and adjustment information manually.
- Insurance companies sometimes pay you more than the allowable amount for a charge, or pay you more than the remaining balance due for a charge. Since you can not post more money than was due, how can you track the extra money in Partner? The guide below illustrates one possible solution to this problem.
- Use the Autopost program (autopip) to post insurance payments and adjustments sent directly to your practice from carriers as ERAs. This article includes screen references and additional details to help you understand autopip.
- Use the Post Insurance Payments (pip) program to manually post insurance payments and adjustments that could not be posted using autopip.