| Posting
patient and insurance payments
You need an accurate and efficient payment posting
process for your billing office.
That's why we offer a powerful automatic payment
posting engine, a streamlined manual posting process,
and other features to help you manage your payments
and collections. Our payment posting tools help
you ensure proper reimbursement while allowing
you to maximize your productivity.
Post
Insurance Payments Automatically using Electronic
Remittance
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Unlock the full potential of Billing
Paradise by automatically posting insurance payments
using electronic remittance advice
(ERA) reports. Billing Paradise's
payment posting engine properly handles even the
most advanced electronic remittance
scenarios, including denials, underpayments, overpayments,
multiple adjustments, automatic cross-over, secondary
remittance, reversals, and more. You can review
detailed adjustment reason and remark codes and
save payments once processed.
Post
Insurance Payments From Explanation of Benefits
(EOB) Reports
If you are using Explanation of Benefits (EOB)
reports to post payments manually, Billing
Paradise offers a streamlined, keyboard driven
workflow to maximize your productivity. You can
post payments using unique encounter numbers,
also known as Patient Control Numbers (PCN), which
Billing Paradise submits on claims
and payers return on explanation of benefits reports.
You enter the allowed amount, paid amount, and
patient responsibility information, and Billing
Paradise automatically calculates the contractual
adjustments and posts the appropriate transactions
to the patient's account. As you are posting payments,
you can view a full transaction history on each
charge and drill-down into the encounter for more
details. Finally, you can post your insurance
payments by batch and generate batch reports to
reconcile to bank deposit slips.
Post
Patient Payments
We've also made it very easy to post your patient
payments. Your front-office users can accept patient
payments during the check-in or check-out process.
Billing Paradise automatically
matches up patient payments accepted in the front-office
to encounters entered in the back-office in order
to automatically apply copays during charge entry.
You can also post payments manually and automatically
apply payments to patient responsibility. If patients
have overpaid, you can easily refund overpayments
back to patients.
Manage
Contracts
Billing Paradise helps you manage
contracts between your physicians and government
payers or commercial insurance companies. You
can set up practice standard fee schedules or
insurance-specific contracts. Simply enter the
standard fee, expected allowed amount, and expected
reimbursement for every charge on your fee schedule.
As you are posting payments, Billing
Paradise presents the expected allowed and expected
reimbursement and flags any overpayments or underpayments.
Manage
Denials
You can post all insurance denials and denial
codes during the payment posting process.
This enables you to use denial management reports
and denial management tools to work your denials
by gathering missing information, correcting data
entry errors, and resubmitting claims within each
payer's timely filing window.
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