The following information provides guidance on managing partial payments within the Bulk claim file.
These are the topics on this page:
Introduction
Processing a Partial Payment
Introduction
As part of the processing of the remittance file, brevity will update the status of the provider invoices contained within the batch based upon the PRODA status listed within the
Manual Claim
This remittance file. Partials payments are identified as being a payment that has been successfully processed by PRODA with Brevity setting the status of the provider invoice to Partial Payment when the amount remitted back in does not reconcile with the amount of the original provider claim.
Through the Organisation record you can set a tolerance that will prompt the remittance process to treat a partial payment as having been PAID.
Processing a Partial Payment
There are two approaches that can be taken with the processing of Provider claims that have only been partially paid.
Manual Claim
This process involves making a manual claim within PRODA for the difference and await payment to your bank account. One the Brevity side you can update the invoice status from Partial Payment to Paid this allowing for an update of the remittance amount to reconcile with the claimed amount. I would also include information on the comments field of the invoice, to the affect that a manual claim for the difference was processed through PRODA.
Upon Upon receipt of confirmation that payment for the invoice difference has been processed, download your ABA file within Brevity and process that through your nominated financial institution.
Partial Payment provider claim
This This process involves calculating the difference for the partial (claimed -remitted amounts). Establish a new provider (partial) invoice within brevity for the difference, ensuring to include the invoice reference + append perhaps -1 , it would be appropriate to include a comment on the provider (partial) invoice.
Adhere to the invoice approval process, process the provider claim through to a claim batch, observe the steps or claim submission and remittance.
In respect of the claim batch that listed the partial payment on the invoice preserve the invoice status, I would update the comment field with details of the second invoice that was raised for the partial. For this batch download your ABA file and process that through comm bank.
In relation to the partial invoice that was raised, once the remittance has been processed back into brevity and the invoice status has been updated as PAID, proceed with the download your ABA file and process that through your nominated financial institution.