Post to a Zero/Credit Balance Encounter

Post to a Zero/Credit Balance Encounter

Sometimes, you will need to post an Insurance Payment to an Encounter that has a Zero or Credit Balance.


First, you must determine if an Insurance Payment should be posted to a Zero or Credit Balance Encounter.


The balance of a line can be a zero or credit balance for various reasons.


An Adjustment/Write-off was Double Posted

  • This created a credit balance.


A Paper Remit and an ERA were Received 

Both have the same check number and amount.

  • Since the check number is the same and you only received one payment, both should not be posted.


Duplicate ERAs

Two ERAs are received that are exactly the same, but you did not receive two Payments.

  • Only one should be posted.
  • The second one should be marked as a Duplicate.


Insurance Pays the Same Claim Two Times in Error

Two Insurance Payments have been received from the same Payer on the same Encounter and both need to be posted.

  • If you manually post to an Encounter with a Zero or Credit Balance, the funds will be Undistributed because it will create a credit. A Validation Error will display when you attempt to save the page.


Use Post Expert to Post the Additional Duplicate Payment

  • The first Payment should be posted as usual with Payments and Adjustments.
  • Post the duplicate Payment, using Post Expert.
  • This will create a credit on the Encounter waiting for the Payer to do a Takeback. 
  • Do not post the Adjustments on the duplicate Payment.
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