Using the Claim Adjustment Window
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eServices > Using ePostings > Understanding the ePostings Payment Detail Window

Using the Claim Adjustment Window

The Claim Adjustment window enables you to distribute claim adjustments among two or more Dr$ IDs.

To distribute claim adjustments among two or more Dr$ IDs:

  1. Do one of the following:

  2. Select Insurance > Insurance Payments > ePostings > ePostings Payment Viewer.

  3. Click in the ePostings Notifications section in Practice Central.

  4. Select the ePostings Notifications entry in the Office Expert Summary in Practice Central.

The ePostings Payment Viewer window is displayed.

  1. Double-click a payment. The ePostings Payment Detail window is displayed.

  2. Select a claim to populate the fields at the bottom of the window with specific information about the procedures involved with the claim.

  3. In the Status field, select from the following:

  4. Verify Distrib:Verify Distrib:

    • Accept Distribution—After verifying all adjustment reasons, select this option to confirm that the SoftDent estimation did not match the actual ePostings distribution. If the Update Bluebook checkbox is selected and enabled, the bluebook is updated.
      Note:       The Bluebook window is not displayed.

    • Edit Distribution—Select this option to display the ePostings Claim Detail window and make changes to the totals in the Pat Resp. and Writeoff columns. For more information, see Understanding the ePostings Claim Detail window.

  5. Manual Distrib:Manual Distrib:

    • Edit Distribution—Select this option to display the ePostings Claim Detail window and make changes to the totals in the Pat Resp. and Writeoff columns. For more information, see Understanding the ePostings Claim Detail window.

    • Accept Distribution—Select this option to indicate that the reasons provided are acceptable and that the distributions should take place based on the original reason codes. If the Update Bluebook checkbox is selected and enabled, the bluebook is updated.
      Note:       The Bluebook window is not displayed.

  1. After clicking Accept Distribution or Edit Distribution and OK, the Claim Adjustment window is displayed.

  2. In the Amount to Post column, type the amount that should be posted for each Dr$ ID and for each transaction code.

  3. You must distribute the full adjustment amount. Partial distributions are not saved.

OR
 

Click Distribute by % to distribute the adjustment amount as a percentage of the total amount the doctor is receiving for the procedure.

  1. Click OK.