Sorry if it's been asked before, can't seem to find the answer right away.
Pt. had a services done Dec 2018. A crown and filling w. xray, 2 claims.
Insurance paid 1 months later. We mark the claims received, created 2 payments - Billed amount, minus w/o, applied percentage, indicated patient portion. The pt. paid the portion. Nothing extraordinary.
Today, 6 months later, my FD is getting a letter from the insurance company, stating that the member had had a coverage terminated 1 month prior to the date of service, November 2018.
All the billing entries are locked at this point.
We need to introduce the entries addressing:
- reversal of the payment linked somehow to the claim
- refund check to the insurance, possibly the same thing as item #1
- removing of the write off
- Patient balance should now show the amount as if the pt. had it done w/o any insurance, UCR fees. We can then work with the pt. offering either "prepayment discount' or payment plan.