Review the process of posting a Payment (EOB/ERA) Level Adjustment. These adjustments appear on the first page of an EOB/ERA and either increase or decrease the applied/unapplied amount. These should be posted as they appear on the EOB/ERA to ensure that the check is properly balanced.
Note: It is important to confirm that Payment Level Adjustments are posted before applying to claims or the check will not balance and will have to be voided and the user will have to start all over again. It is assumed that the Posting an Insurance Payment – Manually training document has been reviewed.
- Enter the dollar amount as indicated by the EOB/ERA. It is important to post the positive and negative values correctly as indicated by the EOB/ERA.
- A positive Payment Level Adjustment (E.g. overpayment recovery) increases the unapplied amount, giving more money to balance the claims then what was actually paid on the check.
- A negative Payment Level Adjustment (E.g. interest owed) decreases the unapplied, allowing for balancing of the check when payment was received that was not directly related to the balancing of a claim.
- Select Adjustment Reason. HealthFusion offers a pre-established list of all known reasons.
- Enter Note (Optional)
- Click Add Adjustment
