03-27 Processing: EOB Payment Processing, Ledger Updates

eob payment processing overview processing new non recorded eob payments identify if a check contains more than one payment process each patient listed on the eob one at a time steps for each patient payment update open the patient's record and then the patient ledger locate the correct data service corresponding to the check payment edit the following items insurance amount secondary insurance, if applicable patient amount due adjustment amount all amounts must balance to the charge listed; otherwise, the process cannot be completed example medicare check processing medicare check amount $29 21 patient copayment approximately $7 45 if this amount is sent to secondary insurance, it should be applied accordingly (secondary or patient due) the remaining amount represents the adjustment totals must add up correctly for successful closure completing the eob entry on the practice ledger open the practice ledger and click on era eob scroll down to “add eob” and select the payer (e g , medicare) enter the following details transaction date (auto populated) check amount adjustment amount (as processed for each individual patient payment) maintain a running tab on a calculator to ensure sums are correct entering service dates and payment details determine the first date of service paid for from the eob for multiple payments, carefully check for correct service dates enter the last date of service paid for as noted on the eob include additional payment method details payment method (cash, check, etc ) authorization details check number or eft number save the entered information allocating funds to patients on the eob scroll to the patient section on the eob for each patient use the search function to locate the patient click on "apply" to bring up the patient’s records verify the correct date of service from the eob if multiple dates are associated with the same patient, repeat the process for each date once all patients are listed, allocate the funds from the eob and apply the payment