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The Remittance Page

One remittance in full: what the payer said, what it did to the balances, and the corrections available. Remittances is where you find it.

A remittance review item marked Short Pay and Held, with two warnings, the projected claim balance, and a required resolution

User only, when the client is licensed for remittances.

TabWhat it holds
OverviewThe remittance, the claim it matched, the money, and the service lines
FindingsWhat the remittance rules found, counted in the tab
CardFields
RemittancePayer, Payer ID, Payee, Payee NPI, Check #, Payment Date, Received Date
ClaimClaim, Patient, ICN, Status
AmountsBilled, Adjustments, Patient Resp, Paid, Unexplained
ResolutionResolution, Notes, Decided
AdjustmentsOne row per adjustment: group, reason, remarks, amount

Service Lines run full width beneath, with columns Serv Date, Proc, Mods, Grp/RC-Amt and RARC.

Where the 835 omitted a field, the page says what it substituted - for example using the claim’s insurance plan.

StatusWhat it means
HeldNothing has posted. A review item is holding it
PostedThe entries are on the ledger
ReversedThe posting was backed out; the ledger is closed to new adjustments
SupersededClosed without ever posting, because a corrected remittance replaced it

A held remittance needs a resolution before its review item can close.

ResolutionWhat it means
VoidAbandon the claim
Write OffGive up the balance
AcceptTake the payment as final
RefilePursue it again

They read as a ladder: most terminal first, most recoverable last.

Several of these appear as a button on the card only while the remittance needs them, and otherwise live in that card’s menu.

ActionWhat it doesWhere it appearsWhen it is greyed
Re-checkRuns the remittance rules againPage headerWhile a check is running
View Raw EDIShows the 835 as receivedPage headerWhen raw EDI was not stored
Reassociate ClaimMoves it to a different claimA button on the Claim card while an unmatched finding is open; otherwise the Claim card menu-
Post Manual AdjustmentAdds an adjustment entryThe Adjustments cardOnce reversed - the ledger is closed to new adjustments
Add AdjustmentAdds a row while editingThe Adjustments card, in edit mode-
Post ReversalBacks the posting outA button on the Amounts card while an error finding is open and the posting is neither reversed nor held; otherwise the Amounts card menuAlready reversed - a posting reverses once
SupersedeCloses a held remittance without posting itThe Amounts card menuAlready posted - post a reversal instead; or the remittance is not held

Choosing a claim for Reassociate Claim can still be refused after the fact: a voided target is rejected by the server, not greyed here.

Supersede is for the payer sending the same remittance twice, corrected. It asks first, listing every line that will never post and confirming the claim balance stays where it is. Post the corrected remittance before closing this one: Close Without Posting cannot be undone, and Keep Held backs out.

Edits save through a save bar, and leaving with unsaved work asks first.

  • Held for review says Complete the review item to release the posting.
  • Posted shows the date, and notes that corrections post new entries rather than editing old ones.
  • Nothing to post when the remittance carries no payment and no adjustments.
  • Superseded replaces the posting badge, and no posting action is offered again.
  • Blocked - without the remittances module the screen is not in the sidebar, and a saved link to it says the module is not part of your plan.

Related: Remittances · Work a Remittance Review Item · Post an Adjustment or Reversal · Payments Look Wrong