It would save a lot of manual labor if write-offs were automatically posted to ledgers when processing ERAs. At this time, we have to manually go into each chart and click multiple buttons for each write-off.
The CO45 should not only attach to the date, it should post and write off when posting the payment. Having to go in and do it as an extra step isn't something I have ever had to encounter. The field should allow for an "edit" in case a secondary comes along and overpays due to a higher CO and they disregard the primary CO45, but this isn't very common and is the exception to the rule of a CO45 needing to be written off.
Charging the client the difference between the contracted rate and the full fee is balance billing, this is an illegal practice that violates the terms of a contract with the insurance company. For example, if the full fee is 110 and the contracted in-network rate is 95, then it is illegal to charge the client the $15 difference. It must be written off. But in theranest, the default is balance billing. For example the $15 difference automatically shows up as the client's responsibility. Several extra steps must be taken in order to move that to the insurance company's responsibility and to write it off. Too many providers get away with this kind of exploitation and insurance fraud. And most patients are unaware that this is an illegal practice. Please change this in the program so that it does not enable providers to commit insurance fraud.
