There are several default transaction types within Procentive for reporting, billing, and payment information. Below you'll find the definitions for the standard transaction types, which appear in the Accounting module, ERA module, Payments module, and several reports.
Transaction Type Descriptions
|Payment||Used to display the funds paid for a specific service.|
|Adjustment||Used to discount the difference between the amount charged and the maximum allowed amount paid.|
|Writeoff||Used to classify funds that you will not be paid, but could have been. To create a custom writeoff, follow the steps in the Create a Custom Writeoff article.|
|Secondary||Used to show an amount that would have normally been charged to the client, however, it will be sent on to the client’s secondary insurance.|
|Billed In Error||Used to remove the balance on a bill line that was billed when it should not have been.|
|Wrong Payer||Used to remove the balance on a bill line and indicate that these funds were billed to the incorrect payer.|
Similar to adjustments, this will appear when expected revenue has been set up and will discount the difference between what is billed and what has been entered as the expected revenue.
Expected Revenue is the ability within Procentive to automatically create adjustments at the time of billing a service line so that the remaining outstanding amount is your expected amount to be paid versus the higher amount you may be billing.
This may however impact the way Procentive posts adjustments in your ERA module, as the payer is coded for the adjustment value however it was already adjusted at the time of billing, causing a mismatch.
|Used to show a set amount charged to a client based on their insurance policy. Selecting this transaction type will automatically charge the client and appear on a client statement.|
|Coinsurance Adjustment||Used to show a percentage of the maximum allowed amount to be paid, which is determined by the client’s insurance policy. Selecting this transaction type will automatically charge the client and will appear on a client statement.|
|Deductible Adjustment||Used to show a specified amount of money that the client must pay before an insurance company will pay a claim. Selecting this transaction type will automatically charge the client and will appear on a client statement.|
|Credits||Used to apply unallocated funds from a payment in a closed accounting period.|
|Takeback Credits||Used to apply the credits that resulted from the use of the Takeback transaction type.|
|Takebacks||Used to indicate an amount that was previously paid on a claim that the payer is now taking back.|