What we do / Payment postingIncluded
Every payment matched to the visit it pays
Software reads electronic remittances and matches each payment and adjustment to its visit. We work what does not match, and nothing is written off to make it fit.
Who does what
Who does what with payments
Mohenara
- Matches payments to visits.
- Flags payments that differ from what the payer allowed before, take-backs and credit balances.
- Posts paper checks and explanations of benefits (EOBs) when you send them.
- Works payments that do not match, and take-backs, with the insurance company.
- Tells you in writing if an insurance company overpaid you.
Your practice
- Forwards paper checks and EOBs.
- Approves refunds.
Payments, Sep 1 to 28
Every dollar that came in, from whom, and what was adjusted.
| Paid by | Payments received | Claims paid | Amount |
|---|---|---|---|
| Medicare Part B | 8 | 132 | $9,459.89 |
| Medicare Advantage A | 4 | 26 | $1,912.70 |
| Medicare Advantage B | 4 | 25 | $1,398.00 |
| Commercial PPO A | 4 | 95 | $8,267.37 |
| Commercial PPO B | 4 | 77 | $4,604.14 |
| Commercial HMO C | 4 | 45 | $3,516.48 |
| Payer E (paper checks) | 11 | 22 | $3,144.18 |
| Medicare supplement plans | 7 | 92 | $1,715.92 |
| Insurance total | 46 | 514 | $34,018.68 |
Medicare sequestration (CARC 253): $193.06 on the 132 Medicare Part B claims paid Sep 1 to 28, 2% of Medicare's payment. It is a payer adjustment, not a write-off.
| Patient payments | Count | Amount |
|---|---|---|
| Copays at the visit | 131 | $4,555.00 |
| Statement balances | 94 | $3,498.49 |
| Patient total | 225 | $8,053.49 |
Total collected Sep 1 to 28: $42,072.17 ($34,018.68 + $8,053.49; equals the Overview tile).
| Date | Paid by | Method | Reference | Claims | Amount | Posted |
|---|---|---|---|---|---|---|
| Wed Sep 23 | Medicare Advantage B | EFT | ending 3360 | 5 | $308.22 | Wed Sep 23 |
| Wed Sep 23 | Payer E (paper checks) | Check | ending 6388 | 2 | $324.22 | Wed Sep 23 |
| Thu Sep 24 | Medicare Advantage A | EFT | ending 9350 | 5 | $307.13 | Thu Sep 24 |
| Thu Sep 24 | Medicare supplement plans | EFT (crossover) | ending 4749 | 7 | $125.51 | Thu Sep 24 |
| Thu Sep 24 | Payer E (paper checks) | Check | ending 9588 | 2 | $225.94 | Thu Sep 24 |
| Fri Sep 25 | Commercial HMO C | EFT | ending 3501 | 13 | $1,116.07 | Fri Sep 25 |
| Fri Sep 25 | Medicare Part B | EFT | ending 3876 | 14 | $982.00 | Fri Sep 25 |
| Fri Sep 25 | Payer E (paper checks) | Check | ending 3824 | 1 | $134.81 | Fri Sep 25 |
| Mon Sep 28 | Medicare supplement plans | EFT (crossover) | ending 1479 | 18 | $291.96 | Mon Sep 28 |
| Mon Sep 28 | Payer E (paper checks) | Check | ending 8460 | 2 | $290.68 | Mon Sep 28 |
References show the last 4 digits only.
| Adjustment | Amount | Detail |
|---|---|---|
| Patient balances written off | $887.28 | 19 balances, 15 patients; approved by you at the August review, posted Tue Sep 1 |
| Denials written off after appeal | $547.41 | 7 claims (visit limit 2, authorization 2, missing information 1, medical necessity 1, coordination of benefits 1): insurer share $512.07, supplement $15.34, patient $20.00 |
| Total written off | $1,434.69 | Equals the September row of the trend table |
Recovered this month: 18 claims paid after appeal ($1,497.79); 13 underpaid claims corrected by Commercial PPO B on Sep 22 ($150.41).
What we do
How each payment is posted
Electronic remittances
Electronic remittances (ERAs) are matched to their visits, payment by payment and adjustment by adjustment.
Paper checks and EOBs
Paper checks and EOBs are posted when you send them.
Differences from what the payer allowed
Payments that differ from what the payer allowed before are flagged and worked with the insurance company.
Refunds
We prepare refunds and you approve them. Software never moves money.
Overpayments
Overpayments reported to you in writing.
What the rules say
Why posting is worth doing carefully
Manual remittances cost practices more staff time, and money paid by mistake has a legal clock.
Questions
Questions about payment posting
Yes. We post paper checks and explanations of benefits (EOBs) when you send them to us.
Anything that does not match is flagged, not written off. We match each take-back to the claim it came from and work it with the payer.