A correction from the insurer must be adjusted for your patients and in your accounting package. In this article, we explain how to do that using Payt.
Sometimes insurers revise previously assessed declarations. This can mean that declarations are covered more or less than the previously allocated amounts. These corrections impact your financial administration, as well as invoicing and communication with patients.
Often, patients have already received an invoice from you based on the original insurance statement. This must be corrected. The correction must also be processed in your accounting package, so that the receipts and payments to insurers and patients are aligned again. Payt automatically performs the necessary actions based on the revised coverage from the insurance.
1) Modifying the revised reimbursement
Go to the relevant declaration and select 'Process correction by insurer' under 'Actions' at the top right.
Here, you can enter the new insurance contribution per treatment and then choose 'Revise treatments'.
Based on the modification, Payt will automatically create the relevant credit notes and debit invoices for the insurer and the patient and, if applicable, send them. Any payments from patients over this amount will have to be transferred back to them manually from your account. For payments to the insurance, you will typically receive a payment specification from them first.
2) Processing of the corrections
Additional receipts and payments from patients and insurers should be processed against the created debit and credit invoices in your accounting package.
Insurers pay or recover correction amounts as a full sum, based on the declarations in a declaration file submitted via VECOZO. This can mean that you reconcile the received payment from the insurer against multiple debit invoices resulting from the revised reimbursements.
In WeFact, select all the invoices from the relevant insurer related to this additional payment and then mark them as paid.