An e-Newsletter for DAISY Users - May 24, 2007

INSURANCE OVERPAYMENT DEDUCTION POSTING

Situation

An insurance company overpays a patient benefit.  To recover the overpayment, money is withheld from the next payment the dental office receives, even though it is for a different patient.  The total benefit needs to be credited to the current EOB and the overpayment needs to be deducted from the patient for whom benefits were previously overpaid.  How should the entries be entered in the DAISY software?

Solution

1.   Define a unique adjustment code in List Maintenance to track the overpayment deduction amounts.  This adjustment will be visible on patient ledgers and statements, so choose your description carefully. 

2.   Post the amount of the entire benefit as the payment for the patient on the current EOB. 

3.   Post a positive adjustment for the deducted benefit amount to the patient for whom the overpayment was previously made.

OBJECTIVES 

• To credit each patient for the full insurance benefit.
• To track the overpayment amount deducted by the insurance company.
• To have an accurate accounting of money deposited each day.

HINTS

Print a Transaction Analysis report daily to find the figures to balance to your bank deposit.

Total receipts ............................................. 85.00

Ins Overpayment deductions........................ - 25.00

Bank deposit. ............................................ = 60.00

If you are tracking insurance benefits for your patients, go to the Insurance Coverage window and adjust the Benefits Used for the patient for whom the deduction was taken.

REMINDER

Don’t forget to update your records to reflect our current contact numbers of (800) 368-6401 and locally (503) 765-3471.