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QSIDental Web’s Batch Insurance Payment -835 module summarizes the 835 information received from carriers by associating it with check and deposit information received from banks and claims processed in QSIDental Web. Payments may be easily posted to patients’ accounts. Utilization of QSIDental’s Electronic Data Interchange (EDI) is required.
The 835 Posting tool is located under the Transactions menu.
The Batch Insurance Payment 835 module utilizes electronic files and the QSIDental Web files to streamline and support the posting of insurance claim payments to patient accounts. In QSIDental Web, many of the 835 and payment processing and posting tasks may be automated through overnight processes and the Task Scheduler; however, they may also be performed manually.
To post payments from 835 files using the Batch Insurance Payment 835 module the following items are required:
The 835 data typically contains details of payments for one or more claims, claim level remittance and adjustment information, and/or responses to preauthorization requests. The bank file contains details of payments such as check number and amount and is crucial for determining what deposits have been received.
The claims represented by the 835 files and the bank files are matched with claims processed through QSIDental Web and displayed in the Batch Insurance Payment -835 module. The module offers four tabs for viewing and managing insurance claim items, associated 835s and payments, adjustments, preauthorization information, and deposits. The tabs are:
Payments: Display payments that meet the criteria selected via radio button.
Pre-Auth Remittance: Display all notifications that were received in context of preauthorization requests and would not have associated payments.
Provider Adjustments: Display all payments that have Provider adjustments and meet the criteria selected via radio button.
Checks: Display all checks that have and have not been deposited
Deposits: Display those payments that have been received by the bank but for which no associated 835 has been received.
