Distribution Rules & Examples

The following patient payment distribution process and accompanying examples are here to help you understand how patient payments are automatically assigned to charges.

Payment Distribution Process

The system looks to allocate the patient’s unassigned payments in the following order:

  • Rule #1: If there is no Date of Service associated with a payment, the funds will be applied to the oldest charge.
  • Rule #2: If the Date of Service on the unassigned payment(s) matches the open charge(s), the payments are applied to the balance.
  • Rule #3: If the payments are greater than the charge balance for that date of service (or if charges have a zero balance), the remaining payments for that DOS will be applied to the oldest charges with a balance due. This will override the Minimum Days to hold Payment value.
  • Rule #4: Any remaining payments after the system has applied Rules 1-3, will be posted to charges closed to insurance with a remaining balance once the Minimum Days to hold Payment value has passed, from oldest to newest.

Note: If a charge is deleted after a payment has been applied, the payment will return to the patient’s unassigned balance and will be redistributed based on the process listed above.

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