The Payment Entry Cash Application option determines how payment transactions are applied to tickets during Payment Entry. The Cash Application option also controls which fields are displayed in the Transaction Detail Area of the Payment Entry Work Window.
Also called: Payment Method
Cash Application Options:
There are three different methods of entry you can set up for a batch. They are controlled by the Cash Application method that you specify either at the Batch Entry Window or at the Work Window.
Method 1: Transaction Detail Entry By Detail (manual method)
Use this method when you want to specify the payment or adjustment amount for a specific ticket, rather than have INSight calculate it.
Examples: This method is used for...
Payments from patients.
Adjustment transactions.
Tip: For more information, see the Payment Entry - Entering an Adjustment Transaction procedure.
Rebill transactions.
Tip: For more information, see the Payment Entry - Entering a Rebill Transaction procedure.
Reversal transactions.
Tip: For more information, see the Payment Entry - Entering a Reversal Transaction procedure.
Refund transactions.
Tip: Use a Transaction Code with a R(efund) Adjustment Transaction Type.
Applying existing unapplied credits against a specific ticket.
Tip: For more information, see the Payment Entry - Creating and Applying Unapplied Credits procedure.
Method 2: Transaction Detail Entry By Automatic Oldest First
Use this method to apply payments to patient Private Balances starting from the oldest private balance charge and working forward to the most recent charge until the payment amount is used completely.
Examples: This method is used for...
Paying off patients' oldest charges first. For example, a patient can pay $500 on account.
Payments to accounts associated with family billing.
Creating unapplied credits for payments that exceed the patient's current balance.
Tip: For more information, see the Payment Entry - Creating and Applying Unapplied Credits procedure.
Method 3: Transaction Detail Entry By Ticket (Auto Transfers & Adjustments by %)
Use this method to apply cash to a specific ticket or to multiple tickets. INSight calculates the payment amount and any adjustment amount based on the Procedure Code's Allowed Amount and the Insurance Code's % of Allowed field or the Procedure Code's Payment % field. Using the established percentage, INSight calculates the appropriate payment or adjustment amount by using the Approved Amount and the Deductible you enter. You can transfer any remaining balance to the appropriate responsible party or write it off completely.
Examples: This method is used for...
Payments received from Medicare and other contractual companies
Tip: For more information, see the Payment Entry - Entering a Payment from Medicare or a Contractual Company procedure.
Adjustments by percent.
Tip: For more information, see the Payment Entry - Entering an Adjustment by Percent procedure.
Automatic transfers from the primary insurance to the secondary insurance.
Tip: For more information, see the Payment Entry - Entering an Automatic Transfer procedure.
Transferring amounts from the insurance to the patient.
Tip: For more information, see the Payment Entry - Entering a Transfer from Insurance to Patient procedure.
Where-Maintained: Payment Entry - Batch Entry Window
Format: predefined