When the EOB and the Patient Account Do Not Match
When the EOB and the Patient Account Do Not Match The payer has processed the claim. An Explanation of Benefits is available. The patient account shows a balance. At first glance, the numbers should tell the same story. But sometimes they do not. The EOB may show one amount as patient responsibility while the account […]
Why Secondary Claims Become an AR Blind Spot
Why Secondary Claims Become an AR Blind Spot A primary claim gets paid. The payment is posted. The account looks better than it did before. But there is still a remaining balance. For many medical practices, this is where secondary claims can quietly become an AR blind spot. The primary payer may have completed its […]
Underpayments: The AR Problem Medical Practices Can Easily Miss
Underpayments: The AR Problem Medical Practices Can Easily Miss A claim gets paid. The payment posts successfully. The account no longer looks like a denial. At first glance, everything appears to be moving in the right direction. But there is another AR problem that can be much easier to overlook: The payer paid the claim, […]
Why Zero-Pay Claims Should Never Be Treated as “Just Another Denial”
Why Zero-Pay Claims Should Never Be Treated as “Just Another Denial” A claim comes back from the payer. The payment is $0. For a busy medical billing team, it can be tempting to place the account into the same workflow as every other unpaid or denied claim: review the reason, make a call, correct something, […]
The Difference Between Correcting an Account and Correcting the Process
08/13/2026 The Difference Between Correcting an Account and Correcting the Process In healthcare accounts receivable, resolving an individual account is important. A claim may be corrected. A payment may be reposted. An adjustment may be applied. A denial may be appealed. A patient balance may be updated. Once the account reflects the correct outcome, the […]
When AR Teams Have Information but Still Cannot Move Forward
08/12/2026 When AR Teams Have Information but Still Cannot Move Forward Healthcare accounts receivable teams often spend significant time trying to find information. They review payer responses. They search account notes. They verify claim history. They look for remittance details. They confirm documentation. They check whether a correction was submitted. They identify which department handled […]
What a Patient-Ready AR Account Should Look Like
08/11/2026 What a Patient-Ready AR Account Should Look Like A patient-facing balance should represent more than the amount currently displayed on an account. It should represent a financial outcome that has been reviewed, supported, and clearly understood. The payer should have completed the appropriate processing. Payments and adjustments should be reflected correctly. Open denials, documentation […]
When Standard AR Follow-Up Is No Longer Enough
08/06/2026 When Standard AR Follow-Up Is No Longer Enough Follow-up is a fundamental part of healthcare accounts receivable. Teams call payers. They review claim statuses. They check for updates. They resend information. They document responses. They schedule another review. In many cases, these actions are appropriate and necessary. A claim may simply need more processing […]
The Importance of Knowing What Is Still Unresolved
08/05/2026 The Importance of Knowing What Is Still Unresolved In healthcare accounts receivable, it is not enough to know what has already happened. Teams also need to know what remains unfinished. An account may contain several notes. A payer may have been contacted. Documents may have been submitted. A payment may have been posted. A […]
The Difference Between an Updated Account and a Resolved Account
08/04/2026 The Difference Between an Updated Account and a Resolved Account In healthcare accounts receivable, activity is easy to see. A note is added. A payer is contacted. A task is assigned. A status is changed. A follow-up date is entered. These actions show that someone worked on the account. But activity does not always […]