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Post: Paper EOR
Some claims administrators refuse to accept electronic bills, or fail to remit electronic Explanations of Review (EORs) for electronically submitted bills.
This is non-compliant behavior. Both failures require manual posting of the Paper EOR mailed to the provider from the claims administrator. The instructions below tell you how to properly post a Paper EOR.
Bill processed and no payment issued? Posting $0 reimbursements is necessary for both Original Bills and any subsequent Second Bill Reviews. For more information, see the Help Article: Post: $0 Reimbursement or Denial.
For electronically posted EORs, do not post the paper EOR. This results in double posting. Instead, maintain a precise record of reimbursement by uploading the paper EORs to all electronically posted bills. For more information, see the Help Article: Upload / Delete Paper EOR.
Claims administrators often remit a single check that reimburses multiple bills. Manually posting a Bulk Payment differs slightly from posting a check representing reimbursement for a single bill. For more information, see the Help Article: Post: Bulk Payment.
Step 1. Navigate to the bill matching the EOR, then review prior postings
To prevent duplicate posting, review previous payments, if any. Do not duplicate post.
Step 2. Click ‘Post’
Step 3. Enter: ‘Amount’, ‘Reference Number’, and ‘Effective’
Bill line items will automatically populate once ‘Effective’ is entered. ‘Payment Form’ is an optional way to record the method of payment.
Step 4. Review prior posting warnings, if any
To prevent duplicate posting, if previous payments posted, review previous payments. Do not duplicate post.
Step 5. Enter ‘Bill Payment Amount’
The ‘Bill Payment Amount’ field is the dollar amount of the check. When posting a check for a single date of service the ‘Bill Payment Amount’ will be the same as the ‘Amount’ entered in Step 3.
Step 6. Enter ‘Payer Claim Control Number’
This number is recommended for a compliant Second Bill Review and is found on the EOR. For more help, see Payer Claim Control Number.
Step 7. Enter ‘Amount’ as they appear on the EOR
The Amount represents the reimbursement amount the claims administrator is allowing for each Procedure Code.
Step 8. Optional: ‘Mark Bill as Done’
Check this box if no additional reimbursement is due, and the bill does not require a Second Review. Checking this box completes the Payment Received or Denial Received task.
Step 9. Optional: Report ‘Discount Contract Information’
Enter the percentage the bill was allowed at, and the name of the Contract as it appears on the EOR. For more information on this feature, see the Help Article: Report / Edit / Delete Discount Contract.
Step 10. Optional: Click ‘Add Bill Payment to post another bill paid with the same check, then repeat Steps 3-7
For step-by-step directions on how to manually post a bulk check, see the Help Article: Post: Bulk Payment.
Step 11. Optional: click ‘Upload Paper EORs’ to upload a Paper EOR
DaisyBill will attach the uploaded EOR directly to the bill for easy reference in the future. Best practice is to always upload the paper EOR.
Step 12. Optional: ‘Mark as Deposited?’
If check has been received click ‘Mark as Deposited?’ box and enter the deposit date. This automatically completes the Deposit Check task.
Step 13. Click ‘Create Manual Posting’
If ‘Create Manual Posting’ button is not clickable, check that all non-optional steps are complete.
You’re all set!