|
Feature |
Benefits |
| Allows claim payment import and export |
Any accounting package with the ability to import and export payment information can be used. Does not mandate your organization to use a particular accounting package or purchase and switch to a new accounting package. |
| Provides for both Summary and Detail Accounting |
Your organization can choose to rollup payment information to the Vendor level or pay claims at a service line by service line basis. |
| Expressions |
Expressions allow payments to be grouped under
riskpools based on a multitude of criteria. · Allows your organization to create unlimited payment buckets. Example: AP Balances can be grouped under particular accounts by whether the Provider was acting as a PCP vs. Specialist, where the service was performed, the type of service performed, etc. |
| Partial Payments |
When balances can not be paid in full, partial payments can be applied at an account or claim detail level |
| Automatic Payment Posting |
As opposed to importing payment information your organization can quickly and easily auto assign payments at a multitude of levels · Our “smart” payment update system can auto increment check numbers applying the full payment amount and check date. Of course individual manual payments can be applied at any level at any time.· With the proper security your accounting personnel can pay claim batches in full and go back and make manual adjustments at an account or claim service line level. |
| Auto Pay feature |
This feature allows claims to be automatically paid in full when a batch is created. This saves time and allows your organization to get EOBs out to your providers when you know full payment will be applied and your staff is in a time crunch. |
| Easy to use interface |
The Batch Accounting user interface was designed to make creating, viewing, and updating claim and capitation payment batches as simple as possible. The module allows your organization to view payment information at a batch, vendor, account, and service line level. |
| Batch Selection Criteria |
Payment batches can be defined via a multitude of selection criteria. A user can choose to create a batch that includes all adjudicated claims in the system down to the level of creating a batch for just one claim. Batches can be created based on the Vendor, Provider, Facility, Adjudication Batch Number, the date the claim was entered, the date the claim was received, Type of Service, Place of Service, and so on.
Professional(HCFA), Facility(UB), Dental(ADA), claims can be separated out into separate batches if desired as well. |
| Reporting |
Claim and Capitation EOBs as well as Claim or Capitation to be Paid reports can be run directly from the interface by selecting the batch or vendor you want report on and executing the report. · EOBs can also be run for a range of batches or check numbers |
| Descriptions |
Textual Descriptions of any transaction can be entered at the Payee, Account, or Detail level. For instance, if a partial payment is made you can indicate why. These Descriptions can be displayed on your organizations’ EOB reports. |
