Post Insurance Payments and Compare to Allowed Amount
Once you have created a Contract Fee Schedule, added allowable amounts, and assigned the schedule to insurance plans, you can post payments in pip
and compare them with to contract allowed amounts. Follow this procedure:
Run the Post Insurance Payments (pip
) Program
You can run pip
from the Insurance Billing window or by typing pip
at a command prompt.
Select Patient and Charges Using pip
‘s Built-in Tools
For more information on using pip
, read the Post Insurance Payments and the Manual Post Insurance Payments Reference articles or contact PCC support.
Review Contractual Amounts While Entering Payment
On the payment screen, the Allowed column will show the allowable amount. Review the allowed amount as you enter the amount remitted. The amounts should match.
Manage Problems
If the insurance payment does not match the allowed amount, you may do several different things:
-
Double-check the amounts.
-
Press F8 – Config Allow to jump into
allowedit
for the chosen contract schedule and procedure code. -
Or, press F12 and use the function keys in
pip
to research the claim and re-bill if necessary. -
Or, review your contracts and contact your insurance carrier liaison.