S-BIL-04 · W17 Billing and Revenue Cycle (more programs, third party, clearinghouse) · fit: unknown

Bill third parties through a clearinghouse

As a billing technician, I want to bill private insurers and other programs through a clearinghouse and post the remittance, so that all payers are billed and paid.

Personabilling_technician
JourneyA visit is coded and billed
Stepnot drawn yet

Scenarios

S-BIL-04.1Given a visit for a patient with private insurance, When the bill is exported to the clearinghouse and the 835 comes back, Then the payment is posted to the bill in A/R.