Sometimes a payer will send an EOB where the check amount is $0.00. If the patient(s) listed on the EOB have a secondary insurance and the claims can be submitted electronically to the secondary payer, you must post the $0.00 payment. See the example below:
Insurance Company: Select Health
Explanation of Payment Statement Date: 01/25/2012
Reference ID: 20120125123456789
Check Number: 0
Patient Name: John Doe
Patient Account #: 1z100
Date of Service: 01/13/2012
Procedure Code: 99213
Billed Amount: 66.00
Allowed Amount: 49.83
Plan Paid: $0.00
Follow the steps below to post a $0.00 payment due to deductible:
- Click Encounters > Receive a Payment.
- On the General tab, click the Insurance button and select the primary insurance company name (Example: Select Health).
- Click into the Adjudication field and enter in the “processing date” of the EOB (Example: Statement Date of 01/25/2012).
- In the Reference ID field, enter in the check number or the reference ID number (Example: Reference ID 20120123456789).
- Leave the Amount field as $0.00.
- Click Apply Now or the Apply tab.
- Enter in the patient’s name next to the “Add Encounter” field and press Enter on your keyboard (Example: John Doe).
- Select the patient if the patient name does not automatically fill in.
- Highlight the date of service and the procedure code (Encounter ID # 1 with date of service of 01/13/2012).
- In the Allowed field, enter in the Allowed amount as noted on the EOB by the primary insurance company (Example: Allowed Amount = 49.83).
- Tab until the cursor is in the Deductible field; enter in the Deductible amount (Example: Deductible = 49.83).
- On the right, the last transaction noted should be “Transferred to secondary insurance”.
- If the last transaction noted displays anything else, then change the Status to “Bill payer 2”.
- Click Save.
- Submit the claim electronically to the secondary insurance company.