3rd Party Payer Clawbacks
- Jessica Colaw
Overview
This feature is beneficial in situations where a third-party payer has resolved a claim but later seeks a refund or clawback as a result of particular conditions.
Users with the privilege Track claims will be able to use this feature.
How to use
Highlight and R-click the payment on the patient sales history
Select Process 3rd party clawback
Check the invoice(s) checkbox to use the full payment amount or double-click in the clawback amount cell to enter the partial clawback
Click save
Should you choose the full payment option, the initial payment will be removed from the patient's sales history and recorded in the third-party ledger.
In the event of a partial clawback, a portion of the patient payment will continue to be recorded in the patient sales history, while the remaining amount will be reflected in the third-party ledger.
Go to Accounting > 3rd party ledger > select the 3rd party payer to find the payment
The 3rd party payer will be displayed in a greyed-out format at the bottom of the list due to the utilization of claims tracking.
Highlight and R-click the clawback > apply to claim to use this payment for another patient
Clawbacks can only be applied to submitted claims
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