Post Insurance Overpayments

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.

For these steps to work, you will need:

  • An “Insurance Overpayment” payment type in the Payment Types table in ted.

  • An account and patient for posting the overpayments. You can create one dummy account to hold all overpayments, or multiple accounts for each insurance group. You could also create a single account for all overpayments and then create a dependent patient for each insurance group.

Contact PCC support for help creating the items above.

When you receive an insurance overpayment, post the contractual or allowed amount against any related charges, and then follow this procedure:

Run pam for the Overpayment Account

Run the Posting Payments (pam) program from the Daily Operations window or by typing pam at a command prompt. Find the Overpayment Account.

Post the Insurance Overpayment

Post the overpayment using the payment type of Insurance Overpayment.

Use the Check Number Field: You can use the Check # field to record information about the overpayment. For example, you can store the account number or the EOB’s check number. If the insurance company requests a takeback, you will then have an easier time locating the overpayment.

Record Your Actions in fame

Run fame for the Overpayment account and add details about the overpayment to the Notes page. You may also want to add a note to the account that the insurance company overpaid.

When they Request a Takeback: When an insurance company requests a refund, referencing an overpayment you have posted as above, you can refund it.

  • Last modified: August 3, 2015