Moving to the New Billing Interface

Moving to the New Billing Interface

 Table of Contents

  • What is the New Billing Interface? 
  • What has Changed?
  • Comparing Old vs New Billing Interfaces
  • How to Get Access to the New Billing Interface?
  • Questions?


What is the New Billing Interface?

The New Billing Interface is a revamped version of zHealthEHR's ERA and EOB Billing Modules. The new interface has various carefully thought out elements in place. The overhaul-work stretches from something as considerable as the ability to review each claim payment before posting the Electronic Remittance Advice (ERA) payments to filing secondary claims from Explanation of Benefits (EOB) payments. Crucial changes are discussed below.


What has Changed?

Along with a user-friendly interface, the New Billing Interface comes with a few changes. A helpful comparison matrix is listed below:

  • ERA: Electronic remittance advice (ERA) provides a view of the full transaction history on each line item and drill-down into the insurance amount paid, insurance adjustment, and patient responsibility amount. zHealthEHR processes ERA reports received from insurance payers and shows them in your Billing Center's ERA tab. As you're posting ERA payments, you can reconcile balances and post insurance payments by taking appropriate actions like rebill the claim or put it on hold if you want to talk to the insurance payer. By using the new billing interface, you can verify if the total amount received in the ERA matches the total of all claim payments and get paid accurately. 

1. Review Each Claim Payment. The system will process ERA payments but the payment will not be posted automatically. You now have the ability to review insurance paid, insurance adjustment, and patient responsibility and post the payment as you deem fit.



2. Change Insurance Adjustment or Payment Responsibility. You can change the insurance adjustment amount and patient responsibility information to post the appropriate transactions to the payer if you want to rebill the claim or put it on hold.



3. Take 'Actions'. Take actions like 'Close', 'Close W/O Apply', 'Rebill' or 'On Hold' till you talk to the insurance payer.



4. File Secondary Claims. File secondary claims from the same ERA Payments screen.



EOB: If you are using Explanation of Benefits (EOB) reports to post insurance payments manually, zHealthEHR's new billing interface offers a streamlined workflow to maximize your productivity. You can enter the insurance paid amount, enter the insurance adjustment amount, select insurance adjustment group, change claim status, fill in the patient responsibility information, and zHealth automatically posts the appropriate transactions to the patient's account. Finally, you can post your insurance payments by batch and post them at the same time.

1. Post Multiple EOB Payments. You can select multiple claims and post payments on the same screen.



2. Rebill Your EOB Claim. You can change the insurance adjustment amount and patient responsibility information to post the appropriate transactions to the payer if you want to rebill the claim or put it on hold.



3. File Secondary Claims. File secondary claims from the same EOB Payments screen.



Old vs New Billing Interface

 

Type of Payment
Old Interface
New Interface
ERA Payments
  • The payments are auto-posted when the ERA is processed.
  • If you don't want to post a payment and rather rebill the claim, you have to go to "Apply Payments" to do it manually for each claim, which is a time-consuming process.
  • You have to raise secondary insurance claims and post ERA payments for secondary claims separately.

 

  • You can manually review each claim payment and post the payment as you deem fit.
  • Once you verify the claim amounts received, you can choose to close, rebill, or put it on hold from the same payment screen.
  • You can file secondary claims from the same ERA Payments screen.
EOB Payments
  • You receive EOB payments for multiple claims from the insurance payer. So posting EOB payment for each individual claim separately for the same insurance company is a time-consuming process.
  • You cannot rebill or file secondary claims from the EOB Payments screen. 
  • Multiple claims can be selected and payments can be posted from the same EOB Payments screen.
  • You can rebill or file secondary claims from the same EOB Payments screen. 

 

* The Old Billing Interface will be discontinued on a future date. More details and communication will be sent once that date has been determined.

How to Get Access to the New Billing Interface?

Access to the New Billing Interface can be achieved in two ways:

  • Existing customers will receive an email from our Customer Success team offering to upgrade them to the new interface. If you wish to switch to the new interface, send an email to support@zHealthEHR.com. The upgrade is estimated to take less than 24 hours.
  • New customer portals created after March 2021 will have the New Billing Interface enabled by default.

Questions?
If you have questions regarding the New Billing Interface, choose one of the following options to contact zHealth Customer Support:
  • Email your questions to support@zhealthEHR.com 
  • Call your Customer Success Specialist directly
  • Call 1-800-674-2908


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