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Confusion re open versus closed balances?
I go to the drugstore and buy $15 worth of prescription drugs.
I create a Bill of $15. I have an Open Balance for the drugstore for that purchase.
I create a Payment of $15. I now have a Closed Balance for the drugstore for that purchase.
However...
I go to the doc. He has a copay of $15.
Perhaps the problem is because I did this backwards.
First I created the EOB...
$100 Charge
$75 Allowed
$60 Paid
This created an Open Balance of $15 (in red).
Then I created the Bill for $15.
Then I created a Payment for $15.
But now I still have an Open Balance of $-85 (in black).
I'm thinking that somehow after all this I should have ended up with a Closed Balance (since this doc visit is now fully taken care of). But I'm not sure how to get there... whether I entered a piece of info I shouldn't have or put something out of place.
I create a Bill of $15. I have an Open Balance for the drugstore for that purchase.
I create a Payment of $15. I now have a Closed Balance for the drugstore for that purchase.
However...
I go to the doc. He has a copay of $15.
Perhaps the problem is because I did this backwards.
First I created the EOB...
$100 Charge
$75 Allowed
$60 Paid
This created an Open Balance of $15 (in red).
Then I created the Bill for $15.
Then I created a Payment for $15.
But now I still have an Open Balance of $-85 (in black).
I'm thinking that somehow after all this I should have ended up with a Closed Balance (since this doc visit is now fully taken care of). But I'm not sure how to get there... whether I entered a piece of info I shouldn't have or put something out of place.
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ok... part two. This is GREAT question to something that isn't so obvious... Change the bill amount to $100... because that is the amount that the doctor billed somebody (in your case, he billed the insurance company so the combination of your $15 co-pay and the insurance EOB should net the balance to zero).
It's weird, i know - but you really didn't get "billed" when you made that co-pay. It was merely a payment of $15 while you were there towards a total bill of $100.
And don't worry about the order of data entry. It shouldn't make any difference to MBM what order you put things in.
Let me know if that takes care of it for you and thank you so much for asking.
I’m eager to help
The company says
this answers the question
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First thing... we've made entering prescriptions a little easier [though in the next release in February (2 months from now) it will be super simple with a new Rx button :) where you'll be able to pick/search from the actual prescription name etc]
In the meantime, though, now you don't have to enter an offsetting bill for a prescription. Simply enter a new payment and as you are inputing your payment -- UNcheck the checkbox next to "will bill?" By unchecking the box, MBM will auto create a phantom off-setting bill so that you do not have an outstanding pharmacy balance.
That should make entering prescriptions easier (until we go live with the new enhancements)
Whew! let me take a brake for a sec and i'll answser your other question :)
I’m thankful for people that ask for help
The company says
this answers the question
-
Inappropriate?First thing... we've made entering prescriptions a little easier [though in the next release in February (2 months from now) it will be super simple with a new Rx button :) where you'll be able to pick/search from the actual prescription name etc]
In the meantime, though, now you don't have to enter an offsetting bill for a prescription. Simply enter a new payment and as you are inputing your payment -- UNcheck the checkbox next to "will bill?" By unchecking the box, MBM will auto create a phantom off-setting bill so that you do not have an outstanding pharmacy balance.
That should make entering prescriptions easier (until we go live with the new enhancements)
Whew! let me take a brake for a sec and i'll answser your other question :)
I’m thankful for people that ask for help
The company says
this answers the question
-
Inappropriate?ok... part two. This is GREAT question to something that isn't so obvious... Change the bill amount to $100... because that is the amount that the doctor billed somebody (in your case, he billed the insurance company so the combination of your $15 co-pay and the insurance EOB should net the balance to zero).
It's weird, i know - but you really didn't get "billed" when you made that co-pay. It was merely a payment of $15 while you were there towards a total bill of $100.
And don't worry about the order of data entry. It shouldn't make any difference to MBM what order you put things in.
Let me know if that takes care of it for you and thank you so much for asking.
I’m eager to help
The company says
this answers the question
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Inappropriate?That worked just fine. In fact, now that I have the swing of things re pharmacy purchases, I'm baffled how you folks are going to improve the process. ;)
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Inappropriate?On the EOB side, I had upped my confusion factor by linking several EOBs together. They weren't actually separate EOBs but rather the different multiple lines of the same EOB so I had linked them. Unfortunately that kept any specific EOB (of that group) from moving to the Closed Balance side.
It will be great to be able to enter multi-line EOBs.
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Inappropriate?SongofRuth,
Although I didn't get in on this conversation I reply appreciate the feedback re: multi-line EOBs. That is something we have been discussing of late, trying to settle on the best way to handle it. Although we may not get it out to you immediately I promise that this feature is high on our priority list and we will get to it soon! -
Inappropriate?I know that on my EOBs there is a claim number. So all entries for that EOB (which of course now are listed as individual EOBs when I enter them) have the same claim number. Currently I put this in the TAG field. It just occurred to me that one thing I could do is to use "C#:xxx", where xxx is the claim number, to differentiate this particular tag. In this way things actually currently sort of can be grouped.
1 person says
this answers the question
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Inappropriate?Exactly why we added the tag field, great usage of it. I assume you know too that you can then view all items with a given tag in the transaction log. Good to see you coming up with creative solutions that work for you!
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Inappropriate?Your right! I often tell people to use tags as a was to group things (like multiple items, providers, etc that are associated with one episode of care or event... like a car accident or long hospital stay + associated home health). Very creative using "C#:xxxx" as a way to group and sort claims... you could even go with "eob-c#:xxxx".
The gang here have already been prompted to add "Claim #" as a new field though I also like your creative solution!
SongofRuth - You are our new Rock'n Power User. THANKS!
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