Medical Billing Coding - Unmatched EOB payments, cpt, codes
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Thread Topic: Unmatched EOB payments
Topic Originator: Kate
Post Date July 9, 2012 @ 4:57 PM
Unmatched EOB payments

July 9, 2012 @ 4:57 PM Reply  |  Email Friend   |  |Print  |  Top

I receive several checks from BCBS and am inquiring about the method of payment distribution. Occasionally I come across a discrepancy between the total amount paid to the provider and the amount paid for each service. For example, the total amount paid for one pt's office visit was $329.00, but the total amount paid to the provider was only $314.00. I've noticed that in those cases where they are unmatched, the pt paid a copay that matched the difference between total and total to provider. How should I be entering this?

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