Non-Completed Zero Balances |
$0 balances remain incomplete, blocking secondary/self-pay balances and risking revenue loss. |
Runs five scripts to complete balances, clear queues, and accelerate resolution. |
Orphaned Work Items |
Work items assigned to inactive users stall, creating bottlenecks. |
Items are automatically reassigned according to current rules, keeping workflows moving. |
Offsetting Balances |
Encounters with equal debit and credit balances require manual transfers. |
Detects and resolves balances instantly, reducing manual work. |
Unproductive Work Items |
$0 balance scenarios generate unnecessary work items that clutter queues. |
Identifies and closes these items automatically, improving efficiency. |
Voided Balances |
Payments posted after plan modifications create voided balances needing review. |
Matches plans, transfers payments, and resolves balances automatically. |
Submitted Claims with Payments |
Payments don’t always trigger claim status updates, skewing AR reporting. |
Updates statuses to "transmitted," ensuring accurate reporting and smooth workflows. |
Statement Cycle Reset |
Self-pay statement cycles get “stuck,” delaying billing. |
Resets cycles automatically to keep billing on track. |
Progressing PR Balances |
Patient balances remain under insurance responsibility due to system errors. |
Moves balances to self-pay responsibility, resuming billing seamlessly. |
Insurance Small Balance Write-Off |
Small insurance balances require manual write-offs. |
Identifies and writes off balances automatically, ensuring compliance. |