Have you received a $0 EOB and need to record it in detail? Maybe the patient hasn’t met their deductible and you still need to record what was approved for each code.
If so, keep reading!
Working Through an Example
Let’s say you billed 2 different codes that totaled $120 and received an EOB for $0 with some information on what was approved (or “allowed”) for each code.
One way (and probably the easiest if you need to record multiple $0 EOBs at once) to record this EOB would be to head to Billing tab and click on the Submitted Claims folder. You can then filter this folder to search for the claim.
Once you’ve found the claim, you can click the dropdown arrow to the right of the claim and select the View Purchase option.
When viewing the purchase, you’ll need to scroll down to the Insurance section, click the dropdown arrow beside the claim, and select the Edit EOB option.
You’ll then need to enter in the approved amount for each code that was billed. Let’s say for our example that $50 was approved for the first code and $30 for the second code.
If you received $0 because your patient hasn’t met their deductible, you’ll need to make sure that you enter in your patient’s deductible amount so that Jane knows to update the patient’s invoice. Don’t forget to add in the patient’s co-pay and/or co-insurance if that applies in your case (no co-pay or co-insurance applied in this example)!
If there is a remaining amount (amount billed - amount approved), you can then write off the remaining balance or bill the rest to the patient (depending on your work flow) before applying your changes.
Other Areas in Jane to Record a $0 EOB
If you don’t want to work out of the Unsubmitted folder when posting your $0 EOBs, you also have the option of working out of the Schedule or Insurer Invoices section.
From the appointment panel, you’ll need to click the dropdown arrow beside the claim and select the Edit EOB option:
2) Insurer Page
Click on the Billing Tab in the top blue bar and scroll down to select the Insurer. From the Insurer, you can Filter this area to search for a particular invoice. Once you’ve found your invoice, you can click the View button beside the purchase.
Then just like the example from above, you’ll need to scroll down to the Insurance section, click the dropdown arrow beside the claim, and select the Edit EOB option