Discharging patient ins shows credit after processing

premier1888 · Post by **premier1888** » Thu Feb 21, 2008 7:55 am

Discharing a patient with insurance account shows credit But a zero balance due. We check insurance info everything seems right thank you paula

Post by **jordansparks** » Thu Feb 21, 2008 8:13 am

Not quite sure what you mean. I'd have to see the screen, probably.

premier1888 · Post by **premier1888** » Thu Feb 21, 2008 1:22 pm

Here's a screen shot. hope this helps.

premier1888 · Post by **premier1888** » Thu Feb 21, 2008 1:24 pm

Hmmm, not sure how to attach image or file.
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drtech · Post by **drtech** » Thu Feb 21, 2008 1:48 pm

click the "Add image to post" link at the bottom of the text box to post a reply instead of using the buttons at the top.

premier1888 · Post by **premier1888** » Thu Feb 21, 2008 2:01 pm

Post by **jordansparks** » Thu Feb 21, 2008 7:41 pm

Go to Setup | Misc, and uncheck the box that says "Use bold balance view" over to the right. Then console Dr. Fuchs who will be dismayed that you didn't intuitively grasp it.

drtech · Post by **drtech** » Thu Feb 21, 2008 8:32 pm

premier1888: The Bold balance view is my addition to the program and yes, Jordan, I know you never liked my addition :p

I don't think it is actually all to do with the balance view. I think something else is wrong.

Look at the fees
$60 charged, $60 paid by ins, and then write off of $17 which would be a running balance of -$17 (Why does it show -$60?)(and also you can't write off fees if you are paid the whole amt, so something looks like it is messed up with this particular account to me)

Jordan, the bold balance view shouldn't have any effect on the grid below right?

I always use the view with "balances don't subtract ins estimates" though so maybe it just doesn't work right with the regular math. (although I still don't see how that would effect his negative running balance...please explain)

Post by **jordansparks** » Thu Feb 21, 2008 10:53 pm

You're right. The running balance must match the balance at the right. Here's the basic problem I see. You have a claim that is sent and not received. If the claim has not come back yet, then why do you have insurance payment amounts entered? I think that's the problem. You can see that the erroneous payments add up to $260. I think going in and zeroing out the payments is the thing to do. It also wouldn't hurt to run the database maint tool.

premier1888 · Post by **premier1888** » Fri Feb 22, 2008 6:26 am

That's exactly it. My OM and I couldn't figure out why the balance is negative. All we did was highlighted the procedures and then sent a primary claim through tesia. We didn't enter any payments, so why did the ins. paid column show any figures? weird.
deleted the claim, ran the database maintenance, made sure his insurance breakdown was entered correctly, then resubmitted again, and it still came up this way.

Post by **jordansparks** » Fri Feb 22, 2008 7:45 am

The way it got this way in the first place is that someone probably started to enter a payment, and then cancelled out. Deleting and recreating the claim will not change that. Edit the claim. Edit the claimproc rows. Change the amounts paid back to zero.

premier1888 · Post by **premier1888** » Fri Feb 22, 2008 2:20 pm

I don't think somebody entered a payment. The claim status is sent, not received, there is no payment indicated, and my daily production report for that pt. indicates a production, but no ins. payment. It's just weird. Any other ideas about how or why this happened?