Version 20.14
 This window map article points out some of the important aspects of the window you're working with in OP but is not intended to be instructional. To learn about topics related to using this window, see the Related Articles section at the bottom of this page. |
About Billing Center: Adjudications Tab
Path: Billing tab > Billing Center button > Adjudications tab
The Adjudications tab of the Billing Center is only used if the practice has enrolled for Electronic Remittance Advice through their clearinghouse. The window shows all claims that were finalized by the insurance payer and will display claims payments from the ERA Payment ID. Adjudication lines are removed as they are posted by the Practice.
Billing Center: Adjudications Tab Map
| Number | Section | Description |
1 | Billing Center Tabs | The Electronic Billing Center contains the following tabs: |
2 | Scope | The Scope selections determine the data available in the Adjudications grid. All of the Scope options listed in this panel are available for use in the Adjudications tab. |
3 | Function buttons | The Function buttons change based upon the tab selected. However, some main function buttons appear on every tab. The main function buttons are Edit, Delete, Select All (items), Select None, and Print Grid. |
4 | Data Application buttons | The Data Application buttons include:
|
5 | Payment ID | The Payment ID field filters the Adjudications grid based on the selected Payment ID in the Payment ID dropdown. Paste check number here to isolate to check number. |
6 | Force Pay Date | The Force Pay Date field filters the Adjudications grid based on the Force Pay Date selected. Enter the date of bank deposit to show as posting date (if not, will default to post with ERA Date). |
7 | Matched/Unmatched tabs |
|
8 | Default Statement Type | The Default Statement Type displays the adjudications based on statement type (Insurance + Patient Responsibility or Patient Responsibility Only). Selection will show desired information on the statement when printed out.
|
9 | Adjudications grid | The Adjudications grid displays all claims that were finalized by the insurance payer and will display claims payments from the ERA Payment ID. The grid is updated as adjudications are posted and processed into OP. |
10 | Expand grid checkbox | The Expand Grid checkbox expands and collapses the categories within the grid. |
Version 20.13
This window map article points out some of the important aspects of the window you're working with in OP but is not intended to be instructional. To learn about topics related to using this window, see the Related Articles section at the bottom of this page. |
About Billing Center: Adjudications Tab
Path: Billing tab > Billing Center button > Adjudications tab
The Billing Center is the one-stop location in the OP software where claims are tracked. It lets you view claims from the time they are created until the time they are paid.
The Adjudications tab is only used if the practice has enrolled for Electronic Remittance Advice through their clearinghouse. The window shows all claims that were finalized by the insurance payer and will display claims payments from the ERA Payment ID. Entries disappear when the payments are posted.
Billing Center: Adjudications Tab Map
| Number | Section | Description |
1 | Billing Center Tabs | The Electronic Billing Center contains the following tabs: |
2 | Scope | The Scope selections determine the data available in the Adjudications grid. All of the Scope options listed in this panel are available for use in the Adjudications tab. |
3 | Function buttons | The Function buttons change based upon the tab selected. However, some main function buttons appear on every tab. The main function buttons are Edit, Delete, Select All (items), Select None, and Print Grid. |
4 | Data Application buttons | The Data Application buttons include:
|
5 | Payment ID | The Payment ID field filters the Adjudications grid based on the selected Payment ID in the Payment ID dropdown. Paste check number here to isolate to check number. |
6 | Force Pay Date | The Force Pay Date field filters the Adjudications grid based on the Force Pay Date selected. Enter the date of bank deposit to show as posting date (if not will default to post with ERA Date). |
7 | Matched/Unmatched tabs |
|
8 | Default Statement Type | The Default Statement Type displays the adjudications based on statement type (Insurance + Patient Responsibility or Patient Responsibility Only). Selection will show desired information on the statement when printed out.
|
9 | Adjudications grid | The Adjudications grid displays all claims that were finalized by the insurance payer and will display claims payments from the ERA Payment ID. Entries disappear when the payments are posted |
10 | Expand grid checkbox | The Expand Grid checkbox expands and collapses the categories within the grid. |
