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We are currently updating the OP Help Center content for the release of OP 20. OP 20 (official version 20.0.x) is the certified, 2015 Edition, version of the Office Practicum software. This is displayed in your software (Help tab > About) and in the Help Center tab labeled Version 20.0. We appreciate your patience as we continue to update all of our content.

Processing e-Bill Adjudications for Interest Payments

Version 14.19
Path: Clinical, Billing or Practice Management tab > Patient Chart button > Payments

Overview

Interest payments received through an ERA adjudication automatically process to a generic account set up for payments/retractions that OP cannot specifically trace to a specific patient account. The generic chart is chart #-5, Provider Adj. e-Billing. OP automatically creates a claim for these adjudications. OP only makes adjudications visible to the user if the corresponding charge transaction is archived (i.e. daysheeted). Since the OP software creates a current claim to post these interest transactions against, you need to run a daysheet so that these adjudications are visible for posting. Interest payments received through an ERA should be handled the same as you would an interest payment received on a physical EOB. If your office does not take an action for this payment, you can refer to Option 1 below. If your office would like to post the interest payment to a specific patient, refer to Option 2 below.

Process e-Billing Adjudications

  1. Enter an Interest Charge for the payment amount in the specified patient's chart.
Note: Refer to Add Miscellaneous CPT, eg. Interest, for the Purpose of Posting a Payment.


Note: If you cannot identify which patient the interest was actually for, apply it to the patient with the oldest claim paid on the adjudication.
  1. Manually post the Insurance Payment for the interest payment to the specified account. See Entering an Insurance Payment from the Patient Account.
  2. In the Adjudications of the e-Billing center, change the match status of the interest adjudication (as assigned to an account by the name of Provider Adj. e-Billing) to Discard, approve and post the transaction. 
  3. Click the Patient Chart button to locate and navigate to patient -5, Provider Adj. e-Billing.
  4. Click Claims.
  5. Locate and click the Claim with the interest payment to highlight it.
  6. Click the Void button to delete this claim.
  7. Click  the Yes button when prompted to delete the entire claim.
Version 14.10
Path: Smart Toolbar > Account button > Payment tab

Overview

Interest payments received through an ERA adjudication automatically process to a generic account setup for payments/retractions that OP cannot specifically trace to a specific patient account. The generic account is acct #-5, Provider Adj. E-Billing. OP automatically creates a claim which is displayed on your current claims tab. OP makes adjudications visible to the user if the corresponding charge transaction is archived (i.e. daysheeted). Since OP creates a current claim to post these interest transactions against, run a daysheet so these adjudications are visible for posting. Interest payments received through an ERA should be handled the same as an interest payment received on a physical EOB. If your office does not take an action for this payment, refer to Option 1 below. If your office wants to post the interest payment to a specific patient, refer to Option 2 below.

Processing e-Billing Adjudications

  1. Enter an Interest Charge for the payment amount on the specified account.
Note: Refer to Add Miscellaneous CPT, eg. Interest, for the Purpose of Posting a Payment.


Note: If you cannot identify which patient the interest was actually for, apply it to the patient with the oldest claim paid on the adjudication.
  1. Manually post the Insurance Payment for the interest payment to the specified account. See Entering an Insurance Payment from the Patient Account.
  2. On the Adjudications tab  of the e-Billing center, change the match status of the interest adjudication (as assigned to an account by the name of Provider Adj. E-Billing) to Discard, approve and post the transaction. 
  3. Click the Account button to go into the account -5, Provider Adj. E-Billing.
  4. Click the Claims tab .
  5. Locate and click the Claim with the interest payment to highlight it.
  6. Click on the minus Void button  to delete this Claim.
  7. Click the Yes button when prompted "This action will delete the entire claim, Are you Sure?"