What the practice already knows
Jordan Hale
March 14, 1988
Billing
Payment from the payer, coverage found from a name and a birthday, eligibility, the claim, and the plan on the chart.
Collect from payers
Pinetree Health paid $140 on Elena Voss’s June visit. Enrollment for EFTs is how that money finds the practice.
Payer
Pinetree Health
Practice
Paid
June 3 visit · remittance June 20 · Elena Voss
Find the coverage
Jordan Hale’s benefits are already on the chart. Choice PPO, member PT-44021, active with Pinetree Health.
Plan
Choice PPO
Member
PT-44021
Payer
Pinetree Health
Status
Active
Coverage from demographics
Jordan Hale. March 14, 1988. The member ID can come after. The match on this morning is still Pinetree Health.
What the practice already knows
Jordan Hale
March 14, 1988
Match
Pinetree Health
Choice PPO · PT-44021
Eligibility
At 8:10, Jordan Hale is active with Pinetree Health. Office copay $25. Deductible remaining $650. No prior authorization on this visit.
Copay
$25
Office visit
Deductible left
$650
Active · 8:10
Claims
Jordan’s 99203 for $185 is still a draft. Elena’s June visit paid $140. The August visit came back denied, CARC 50, medical necessity.
Oct 14
Jordan Hale
99203 · draft
$185
Jun 3
Elena Voss
99213 · paid
$140
Aug 12
Elena Voss
99214 · CARC 50
$0
Payers
Pinetree Health is the payer for Jordan, Elena, and Chris. Choice PPO is the plan on Jordan’s coverage.
Payer
Plan
Choice PPO
On the 9:00 chart
Jordan Hale
Jordan Hale’s 99203 is queued for $185. It stays in this browser until you submit it.
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