Knowledgebase: > ACC eClaims
How to handle payment reversals by ACC (or similar)
Posted by Jane Hughes, Last modified by Sinclair Hughes on 04 August 2016 11:43 AM

We are starting to see more and more cases where ACC is reversing out payments previously made.

On the Payment Advice Summary that you receive from ACC, these will show in the Amount Paid column in open brackets () with a Comment, such as ‘claimed within 6 weeks of surgery – paid in error’.

The Payment Advice Summary will look something like this.

Payment Advice Summary

Invoice Number

Date

Amount  Invoiced

Amount Paid (incl GST)

GST Paid

AB00000010A

31/10/15

 444.47

 444.47

  57.98

AB00000005A/R4

30/07/15

(127.85)

(127.85)

(16.68)

Comment: claimed within 6 weeks

 

 

 

 

 

Grand Total

 

 

 

$316.62

 

$41.30

 

Currently it is not possible in the Incisive application to put through reversal entries against either a schedule or an invoice.

We suggest that you handle the Payment / reversals as follows:

  1. Ascertain the actual amount paid by ACC. This should appear as the Payment Amount located in the top right hand corner of the Payment Advice Summary and also the Grand Total.

  2. Add up the amounts that have been reversed off.

  3. Add this to the Payment Amount.

  4. Receipt this amount (ensure you enter the receipt with the payment date, not todays date) and allocate the total amount to the various schedules of invoices paid.

  5. Enter an ‘Other Receipt’ as a negative amount for the amount ascertained in (2) above. Code this to an appropriate Income Category creating a new one if necessary, i.e. ACC Reversals. Please refer to the online manual on how to enter ‘Other Receipts’ if you are not sure of this step.

  6. Enter a financial comment against each patient that has had a previous payment reversed; include the amount of the reversal and the reason.

  7. Reconcile the amounts allocated to each schedule, paying off the appropriate claims.

Based on the example above, the figures would be as follows:

1.            

$316.62

 2.

$127.85

 3.

$316.62+$127.85=$444.47

 4.

$444.47

 5.

-$127.85


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