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Overpayment refund for historical converted claims

When a different insurance was used to process a member's historical converted claims (claims entered before using the basys system), you could receive an overpayment refund from the previous insurance carrier. Since previous claims’ history is usually summarized as historical data you’ll need to enter the claim adjustments differently.

  1. Create a negative historical claim for the overpayment amount (see the Enter a historical claim).
    • This claim should have action and issued dates of 1/1/80.
    • When choosing the line item information in your claim, keep in mind the potential impact on maximums.
  2. Enter a negative Overpayment refund for the payee with an action date of 1/1/80 (see Overpayment refund).

    Note: The date typically used for historical claims is 1/1/80 to avoid interfering with current balancing.
  3. Enter the refund check as a positive overpayment refund for the payee with an action date equal to the current date (see Overpayment refund).
    • Enter the appropriate payee, draft, and fund.
    • Steps 1 and 3 lead to accurate monthly balancing.
    • Steps 1 and 2 balance the overpayment refund.
  4. The Overpayment refund report will show a credit for the month, the net effect for the payee will be a zero balance.

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