Applying Receipts and Adjustments

Whether or not you use Reimbursable Amounts, SYSTOC will start at the top of the list and apply the receipt to each item until the check amount is depleted. If it can only make a partial payment against the last item it can pay, and there is an adjustment code on the Check Information screen it will create an adjustment for the balance. The remainder of the items will not be adjusted off, leaving a balance due.

You probably received an EOMB (Explanation Of Medical Benefits) with the check. Refer to the EOMB to determine which line items should get the receipts and how much of an adjustment amount to apply to each. These can be applied manually as needed by changing the amounts in the Receipt and Adjustment columns. Be sure to scroll the screen over to the right so you can type in the EOMB code on the appropriate line.

When the receipt and adjustment amounts are correct, press the Commit button. If the invoice is for a patient and still has a balance, a new grid will open, permitting you to change the responsible party, see Reassign Invoices With Balances. Otherwise, SYSTOC will return you to the Check Information screen where you can begin again with another check for a different invoice. Once the receipts and adjustments are committed, the Invoice Status is changed to R (Rebillable) and, once reconciled, the invoice is ready to be processed again, at which point it will attain Z (zero balance) status if paid in full.