1. What is the reason for the claim paid and applied towards offset?
Click here to go on offset scenario 2. If the claim is applied towards offset and paid details are correct then what will be your next questions?
Click here to go on offset scenario 3. If the claim is paid and applied towards offset but the payment details are not correct i.e. the paid amount and PTR are not equal to the allowed amount then what will you do?
Click here to go on offset scenario 4. If the claim is paid and applied towards offset and you get all the details and receive the EOB then what will be action?
Click here to go on offset scenario 5. If the claim is paid and applied towards offset and you get all the details and requested the EOB but do not receive the EOB then what will be your action?
Yes, you are right. But, sometimes even after requesting the EOB multiple times, the EOB is not received. In that case, there is no option other than noting the account.
If there is a client update that an account cannot be noted without an EOB in a paid scenario then you can go with the update.
for 5th question, we need to contact payer and request for EOB
ReplyDeleteThanks for your response. We have made the correction in the 5th question.
DeleteStill there's no update in 5th question.
ReplyDeleteWe have provided the update above and made the correction in the question.
DeleteFor the 5th quation we need to call the payer and ask then the EOB after that we need to post the notes and send the EOB to posting Team
ReplyDeleteYes, you are right. But, sometimes even after requesting the EOB multiple times, the EOB is not received. In that case, there is no option other than noting the account.
DeleteIf there is a client update that an account cannot be noted without an EOB in a paid scenario then you can go with the update.