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EOB Reprocessed
Apr 09, 2006 06:22 am

[Nancy_1]
Nancy_1

Total posts: 25
Number of years using Quicken: 10+ years
Quicken Premier Home & Business 2007
Windows 2000
I just got a second EOB for services in January. Claims I asked them to reprocess it??? In January, the full amount they would have paid was applied to deductible. This time, a portion was applied to deductible and a portion paid to the provider.

In the expense detail window I can change the provider write-off and amount allowed. On the Insurance payments, I can change the amount paid by the insurance company. But if I do that, I lose the first EOB reference. Instead, I can add a new line item and note the payment made and record the 2nd EOB reference number. Since I have a Primary and Secondary insurance, I get a new EOB from the secondary, making 4 line items for this expense.

The deductible figures seem to be tracked properly.

Comments please. Is this the best way to handle this or should I ignore the first EOB and just track one line for the new EOB, losing the reference to the first EOB except for what goes in the notes?

Nancy
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[dbAnalyst]

Total posts: 1723
Voted helpful: 14
Number of years using Quicken: 10+ years
Quicken Premier Home & Business 2006
Windows XP
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Re: EOB Reprocessed
Apr 11, 2006 02:53 am 
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Did you submit the claim to the insuror? Or did the provider?

I've had providers submit for re-processing, usually without my knowledge until I got the 2nd EOB. (Of course, I've also had providers who were so slow posting EOBs that they re-submitted claims because they didn't realize that they had already been processed).

In any case, I'd just ignore the 1st EOB since the numbers on the 2nd are, presumably, final.

db

THINK IT THRU! Have you explained your issue so that someone who knows nothing about you, or YOUR Quicken setup, can understand what your issue is? Are you using standard Quicken terminology, particularly with respect to FILES, ACCOUNTS and CATEGORIES?
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[Nancy_1]

Total posts: 25
Number of years using Quicken: 10+ years
Quicken Premier Home & Business 2007
Windows 2000
This is a new post #2
of 3
Re: EOB Reprocessed
Apr 11, 2006 07:41 am 
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I have no idea why the EOB was reprocessed, but the Medicare approved amounts changed (they went up, what I have to pay went up, payment to provider increased, but the deductible figures for my secondary are now suspect based on receiving their EOB today, and the more I look at the Medicare deductible, they don't appear to track properly. Luckily, with a $124 deductible, this should be easy to sort out eventually. The Medicare approved amounts went up but don't match the approved charges for my next 2 visits (same services with same charges every 3-4 weeks.)

Thankfully, I have QMEM to help me sort through this new dilemna and get things straightened out.

I'd just like to be able to track all of the EOBs for a charge since all of them tell the story and the deductibles build on each other. I have a funny feeling that I will get 2 more EOBs before I get done.

Nancy

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[Wiley]

Total posts: 19
Quicken Medical Expense Manager V2
Windows XP
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Re: EOB Reprocessed
Apr 11, 2006 07:41 am 
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Were it me, I'd enter the first EOB info in billing notes and post the second as normal.

That would keep a record of what happened.

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