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Q When I reactivate or create a charge in Edit Procedure History and then attempt to access that charge item in Payment Entry, the item is not showing. I can see it on the daily report, but how to I bring it up in Payment Entry?
A Reactivated or created charges are automatically set to purge delay status. Set the user flag, "Include Purge Delay," to "Y", and the item will then be available in Payment Entry. Also, verify that the install setting, "suppress paid-off items on the payment screen," is set to "N".

Q After billing all of my EMC Batches for all formats, the 'Date Last Bill All Ins Cos' on the System Dates report is not updated. Why?
A The 'Date Last Bill All Ins Cos' date is only updated when paper insurance billing is performed for all claims. This is in Insurance Billing (/M405) only. EMC Billing has no effect on this date.

Q What causes transactions to print on separate insurance forms?
A The following is a list of situations that cause insurance forms to split on to different forms during billing.
  • Different primary insurance plans.
  • Same primary insurance plan with different secondary plans or no secondary insurance plan.
  • Different doctor numbers if the format is set to separate by doctor.
  • Different ailment numbers or none.
  • Different assignments (Y/N/E)
  • Maximum number of procedures exceeds number allowed in the format.
  • If line items with the same date of service, doctor, ailment, etc were posted on different dates, then billed separate claims, they can not be regenerated on the same claim form because the claim numbers stored on the activity record are different unless a transfer to (2)nd is done on all items.

Q Can the system date be advanced when users are online without doing a daily close?
A No, the system date can only be advanced when there are no users logged in or when the daily close is completed.

Q Why do some zero dollar adjustments or payments show in display current payments or edit payments while others do not?
A The zero dollar payments or adujstments that show in display or edit payments have payment comments attached.

Q In Display Patient Data Open Items I have noticed that in some cases the approved amount field is filled in with a value and sometimes it is not, even if a payment has been made. What updates the Approved Amount field?
A The Approved Amount field is updated when a payment is made from insurance and an Approved Amount used on that payment. Note that if an approved amount is used by more than one insurance on the charge, that field will be updated with the approved amount from the last payment made on the charge.

Backdating Statement Bill Thru Date

When you have clients who say that their statements are not printing all the information currently entered, backdating the statements could be causing their problem. Backdating affects how charges, payments, adjustments, transfers and refunds appear on statements. The statement program looks at activity/pauments either in real time (current) or at the time the statements are being printed, depending on the bill thru date. If the bill thru date has been backdated, from the current date, items can be omitted from the statements.

For example, the site is running statements on the 20th of the month, but backdate the statements to the 15th. An account has items that are pending insurance payments and the statement format is set to print patient due items only. The insurance company paid on the 16th of the month, and the remaining balance was transferred to the patient. Since the items are currently patient responsibility they will print on the statements as patient due, but will not show any payments or adjustments applied to them because the bill thru date was the 15th.


Q A site uses full Encounter Form Tracking and occasionally miss posting the encounter form number when posting a charge. The daily close has already been done before this oversight is caught. As a result, the encounter form number continues to show up on the untracked encounter form report. I have tried editing the item in /EPRO but this still doesn't clear the encounter form number. What can I do to clear this encounter form?
A Once the daily close have been done, /EPRO will not clear the voucher from the Untracked Encounter Form Tracking Report. When the daily close is accepted, the user is telling the computer that he has verified the report totals and the untracked encounter form report so the information can be copied to history. In version 8.12 and lower, post a $0.00 charge with the proper voucher number. When the next daily close is processed the voucher number should be removed from the untracked encounter form report. On version 9 and up, go to NoShow Encounter Tracking (/m711) and mark the encounter as a no show.

Q What is the difference between the location field in procedure entry and the user's posting location?
A The procedure entry location is stored for Report Generator reporting purposes. The user's posting location is used when the Trial Daily Close is generated by location. The procedure entry location is written to the procedure history file when the daily close is performed unless the install option is set to yes to store the user's posting location.


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