RECONCILIATION_MATCHING feature is enabled.
Insurance money arrives as a deposit in your bank account and, separately, as a remittance advice explaining what it paid for. Remittances puts the two together and shows what did not match.
The three views
- Overview
- Day sheet
- Reconciliation
Money in, money expected, and what is outstanding over a period. The view for “are we being paid what we billed”.
What matching does
VoxHealth reads remittance advice from your payers and your claims and payments from your PMS, and matches them: this deposit paid these claims, this claim was paid short, this claim has not been paid at all. Everything that matches cleanly is left alone. The worklist is the exceptions.Working the worklist
1
Unmatched payments first
Money you have that is not attributed to a claim. Usually a claim ID that serialized differently between systems, or a payment covering claims from more than one date.
2
Then short-paid claims
Paid, but for less than expected. Read the adjustment reason on the remittance before assuming it is an error.
3
Then aging claims with no payment
Nothing has arrived. These are the ones to chase, and the ones that quietly expire if nobody does.
Configuration
Settings → Reconciliation controls how incoming payments are matched to claims: the tolerances and rules that decide what counts as a match rather than an exception. Loosening the rules produces a shorter worklist and a less trustworthy Overview. Start strict.Related
- Portal automation: pulling remittances from payer portals
- Verifications: the front end of the same money