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How Andre Deals with Insurance That Takes from One Claims for a Recoup on Another in Eaglesoft

There are times when an Insurance Carrier will recoup a previous Claim Adjudication payment from a totally different patients’ payment. On the EOB it shows that they are paying for a service but then show a $0 payment because they are taking away money from a previous EOB. Typically, you’ll see a message like: “a reduction has taken place due to an overpayment on a prior claim”.

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How Andre Stores EOBs Outside Eaglesoft

Prior to the 21st Century Cures Act (Cures Act) signed into law on December 13, 2016, many people recommended storing Explanation of Benefits statements (EOBs) in the SmartDoc of Each Patient. I never have stored an EOB in Eaglesoft.

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Andre’s Eaglesoft End of Year (EOY) Guide.

Typically, the Patterson Technology Center (PTC) gets a VERY high volume of calls for the End of Year (EOY). The process of doing the EOY is really the same as the End of Month (EOM) just with a higher stress level. Here are some of Andre’s End-Of-Year Eaglesoft suggestions

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