New Remittance Processing Features

Posted: July 12, 2010

XIFIN has included a number of new features and corrected some deficiencies in our remittance processing logic to improve ease of use when posting electronic remittance files.

The functionality is included in v5.3 SP1.  A summary of the changes is provided below. We believe these changes will provide a notable improvement to the existing functionality.

New Features

1. Add enhancement to EOB and Discrepancy reports to create one for each deposit instead of creating one for each file.
2. Create a separate deposit and associated EOB report when all claims in the file belong to the previous Billing system and the deposit amount is non-zero.
3. Create a separate deposit for missing EOB payor cross reference entries.
4. Added new system setting to specify default bank ID to use when no EOB payor cross reference is set up or if no bank ID is set up for an existing EOB payor cross reference.
5. Enhanced to add positive and negative payments in the same batch for the same accessions in order to reduce the number of batches created for each deposit.
6. Added a new X12 screen to display remittance files received with the following information:
1. This screen will display all in incoming, errored and processed 835 files based on from and to dates entered by user.
2. If the file is processed, it will display number of deposits created for that file.
3. All incoming and errored files will be displayed on the report regardless of date range.
4. When a User clicks on file name, the file will be displayed.
5. The number of deposits created for each file will be displayed. For example, if the file contains three EFTs and only one deposit is created, the screen will reflect there were 3 EFTs in the file resulting in a single deposit.
6. Details will show remit errors and dollar amount associated with those errors for each deposit

Discrepancy and EOB reports for each deposit will be displayed  

Defects

1. All deposit out of balance errors where sum of the batch amounts does not equal the deposit amount has been fixed.
2. In Non Client Summary screen, the Adjustment Amount column displays the correct adjustment.
3. Provider Level Adjustments match by ICN has been modified to do exact match on ICN by excluding leading zeroes from the ICNs being matched.