How do I record ProviderOne payments and denials from the remittance advice?

Billing, ProviderOne, Payments & denials, Import a remittance advice: lines are marked paid or denied with their TCN; work denials and bill client participation.

Quick answer1 min readUpdated for AveeCare
Short answer

Download the remittance advice PDF from ProviderOne's View Payment, then open Billing, ProviderOne, Payments & denials and select Import a remittance advice. AveeCare matches each RA line to the line you sent, marks it Paid, Denied, Adjusted or Voided and stores its TCN. Denials are listed with what the code means, with Fix & bill again and Mark worked, and client participation can go on an invoice with Bill the client.

Step by step

  1. In ProviderOne, select View Payment and download the RA as a PDF.
  2. In AveeCare, open Billing, ProviderOne, Payments & denials.
  3. Select Import a remittance advice and choose the PDF.
  4. Check the matches, then select Save the RA.
  5. Work each denial: Fix & bill again opens the day to correct, or Mark worked.

Good to know

  • No PDF? Use Record a result by hand to enter a line as paid or denied with its TCN.
  • Changed a visit after it was paid? Bill this period offers the paid line as an adjustment or a void, sent with its TCN in your next file.
  • Importing the same RA twice changes nothing Lines already saved are recognized and left alone.

Keep going

How do I bill Washington DSHS through ProviderOne?

Settings, State programs, Washington: turn it on and finish six steps, then Billing, ProviderOne, Create DAT file and upload it in ProviderOne Social Service Batch Upload.

What do I do when ProviderOne rejects my DAT file?

Billing, ProviderOne, File history: select Rejected and drop in the Error Instance List; each error lands on its line with the fix, and the lines come back marked Resubmission.

Written by
Calvin Nesvig
Founding Partner, AveeCare

Builds AveeCare full-time. The AveeCare Help Center is written and maintained by the team that builds the product, so the steps in every article come from the same people who ship the features.

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