Review Payer A/R Summary (insaging)

Run insaging and Read the Report

You can find the insaging report in the “Insurance Billing” section of the “Billing Functions” window in your Partner Windows. You can also run it by typing insaging at a command prompt.

From the opening configuration screen, press F1 – Generate Report to view the report. (For report configuration options, see below.)

Here is a sample insaging output:

Insurance Company Aging Report                         Generated on 06/01/00
By Transaction date, As of 05/31/00
All Providers
                Current   30 – 59   60 – 89  90 – 119      120+     Total Perc
                   ————————————————————
Personal           3,515     9,410    12,994     9,408    24,342    59,671  32%
Other              7,357       777       399         0         0     8,534   4%
Anthem               361       230         0         0         0       591   0%
Aetna              3,392     2,011         0         0         0     5,403   2%
Aetna/HMO          2,542       171       105         0         0     2,818   1%
Affordable         1,185       497       171         0         0     1,853   1%
BCBS               4,652     1,024       385         0         0     6,062   3%
CIGNA              9,016     1,228       466     1,736     1,846    14,294   7%
HARRIS             1,544     1,015       215        24         0     2,798   1%
HUMANA             5,056       855        89     2,973     1,363    10,336   5%
Medicaid             829        41         0         0         0       870   0%
ONE Health         1,089       782        51         0         0     1,922   1%
PHCS               8,089     2,716       336         0         0    11,142   6%
  .                    .         .         .         .         .         .   .
  .                    .         .         .         .         .         .   .
  .                    .         .         .         .         .         .   .
UNITED             5,897       793       331     3,370     1,685    12,076   6%
                   ————————————————————
Total             69,922    26,034    18,421    20,323    47,055   181,757
Percentage           38%       14%       10%       11%       25%
Total Aging                                                        181,757
Personal Credits across entire practice                             57,127
Medicaid Credits across entire practice                                  0
                                                                ———-
Total A/R                                                          124,629

Your practice’s total outstanding balances are shown with one row for each insurance group. The columns split each insurance group’s total into aging categories.

Note: The report includes a “Personal” insurance group for outstanding personal charges.

For each insurance group, insaging lists the outstanding A/R that is “Current” or less than 30 days old, 30-59, 60-89, 90-119, and over 120 days old. The total outstanding balance and the percentage of your practice’s total A/R are also listed. At the bottom of the report, you can see the “Total Aging” A/R, along with the total outstanding personal and Medicaid credits (if any).

Use Insaging to Target a Group that Requires Further Attention: After identifying a payor with a large or particularly old A/R, you can run the Insurance Company Accounts Receivable (inscoar) report to review all the outstanding claims for that insurance group.

Use Insaging to Evaluate Insurance Companies: If you compare the “Percent” of total A/R column with the percentage figures in the activity report, you will see when an insurance group’s percentage of your total outstanding receivables does not line up with its percentage of your office’s workload. Comparing how hard you have to work to get paid against how many patients you actually see can help you identify “good” and “bad” payors.

Configure and Customize insaging

You can change how the insaging report ages receivables, ask Partner to recalculate aging to a different date, limit the report to a specific provider, and make many other changes.

Here is the options screen you will see when first running insaging:

Aging Options

• Aged How?

  By default, insaging calculates the age of your A/R by the “Transaction Date.”

  You can set insaging to age by “Posting Date”, which is when each charge was entered into your system. This will change the amounts in the report’s aging categories if your office often posts visits long after they occur.

  Finally, you can choose to age by “Payor Date,” which ages by the date each balance became the current carrier’s responsibility. For example, charges that have recently been forwarded to a secondary insurance will appear as “Current” even though the visit occurred months ago.

• Aged as of what date?

  Since aging calculations involve every charge on your system, they are performed each night and stored in a “Nightly File”. insaging uses the previous evening’s Nightly File by default. You can tell insaging to regenerate a file representing unpaid charges aged to any date you prefer. Once you have regenerated an aged nightly file, you can select that report again by choosing the “Use Existing File…” option.

Output Options in insaging

• Destination

  Choose whether you want to view the report on your screen, mail it to your e-mail inbox, or print it on a specified printer.

• When To Run

  Run the report “Right Now” and have your terminal wait for the job to finish, run it “In The Background” so you can go on and do other things at the same time, or schedule the job to run “Later At” a specified time. This option was useful on older computer systems (pre-2003) and should no longer be needed.

• Generate…

  You can include charges for all providers, or select individual providers or a provider group. PCC can help you set up any provider group you would find useful for A/R Analysis.

  Note: All credits are assigned (by default) to the Office provider. If this provider is not included when the report is run, then no credits will be reported.

Understanding and Configuring Insurance Groups in insaging

• insaging tallies charges by the plan they are pending. Charges that do not pend an insurance company are totaled in the Personal line of the report.

• If you see a blank line in the middle of the insaging report, there is an active insurance group in the Table Editor (ted) with no plans assigned to it.

• Use the byins program to review how your insurances are grouped. Edit your Insurance Companies and Insurance Groups tables in ted to re-group plans if necessary. For example, you may want to consolidate two insurance groups with very few plans and little activity, or you may choose to break up an insurance group if it represents a large portion of your business and you want to track it more closely. For more help creating and organizing insurance groups for reporting purposes, contact PCC Support.

Related Articles

• Here are some related articles in Billing and Practice Management > Bill Insurance > Track and Work on Outstanding Claims: