Path: Smart Toolbar > Billing button > Adjudications tab
Adjudications from secondary insurance carriers and/or adjudications for HSA or HRA payments should be processed manually if you do not want to apply the secondary adjustment since this adjustment includes both a secondary adjustment AND an adjustment based on your original payment from the primary payer.
Typically, when processing these types of payments, you should not enter the full adjustment amount as a portion of the adjustment represents payment previously received from the primary payer. If you do approve and post these adjudications, the claims will appear over-posted and ultimately result in false credits being issues on the specified accounts.
|Please be advised that automating this process through the adjudication tab is currently being addressed for a future release.|
The recommended best practice at this time is to manually post the adjudication from the secondary and/or the HSA or HRA payer and enter the adjustment as appropriate (excluding the amount initially paid by the primary).
- Enter the payment (and corresponding adjustment) on the specified patient account according to standard posting procedures.
- Once the manual payment is entered, go to the Adjudications tab of the e-Billing center, change the match status of the specified adjudication to Discard, approve and post the transaction.
Electronic Billing Center