I have a situation where a dos was paid by GEHA insurance and it was processed on pt ledger. Turns out pt had another insurance as primary (Anthem) I was not able to open the dos and do a debit adjustment/insurance refund so that it reflected on the dos.
It also turns out the Primary (Anthem) paid the patient so I didn't get an eob/payment to be able to apply it on the dos.
When I print out the claim to what is now the secondary (GEHA) it reflects the original payment made by GEHA so the claim is not correct and does not reflect that a refund was made to GEHA.
When GEHA does pay as a secondary payer it will look like that dos has two payment from the same insurance. If someone does not go down the history a yr later they could miss the refund when looking at this dos.
Hope this makes sense
Unknown Unknown
You will be able to enter the insurance refund adjustment right in the claim itself. When you open the claim it will show it, as well as when you click on anything attached to that claim & view "show transaction links" it will highlight it all. Hope that makes sense & what you were inquiring about.