Prevent Copay Duplication When Merging e-Superbills for the Same DOS

Patient > Clinical > Provider Note > e-Superbill > Merge

Billing > Professional > Charges > Custom View > e-Superbill > Merge

What’s Newnew_symbol-1

  • Copay handling logic updated for e-superbill merges involving the same DOS.

  • Paid copay on non-source appointments is:
    – Removed from the appointment
    – Converted into a Patient Advance (unapplied)
    – Linked to the original appointment for audit tracking
    – Appointment marked as No Charge

  • For unpaid copay scenarios across multiple appointments:
    – Only the merge source appointment retains the copay due
    – All other appointments are marked as No Charge
    – Copay due is cleared from non-source appointments

  • Ensures only one copay is reflected per visit across merged records.

  • Applies to all e-superbill merge workflows.

How It Works 

  1. Initiate an e-superbill merge for multiple appointments with the same DOS.
  2. If a copay has already been paid on a non-source appointment:
    – The system removes the copay from that appointment.
    – Converts it into a Patient Advance linked to the original appointment.
    – Marks the appointment as No Charge.
  3. If multiple appointments show unpaid copay:
    – The system retains the copay only on the selected merge source appointment.
    – Clears copay dues from all other appointments.
    – Marks non-source appointments as No Charge.
  4. The final merged result reflects a single copay for the visit.

 

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Benefits

  • Prevents duplicate copay charges for the same visit.
  • Ensures accurate patient balances after merging appointments.
  • Reduces manual reconciliation and correction efforts.
  • Maintains auditability by converting excess payments into tracked advances.
  • Provides consistent and predictable behavior across merge workflows.