Not Reconciled (ON)

The Not Reconciled tab includes any claims that have been submitted and that have not been paid for the amount billed. This includes any overpayments, underpayments, rejections, and reversals.

There are several options for which assessments are displayed.

Show Overpayments – Overpayments are included in the shown remittances.

Show Refusals – Refusals are included in the shown remittances.

Date Filter - Only show assessments from the Last 3 Months, 6 Months, 9 Months, 12 Months, Selected Payment Period (in bottom Payment Period panel), or All Items. 
Note: The default of this dropdown is the Last 9 Months and can be managed in the Preferences tab of Office Management (Accuro Start Menu > Users > Manage Security > Offices > Preferences tab under Billing).

You can also filter remittances by Explanatory Code(s).

Remittances that have been marked for resubmission can be submitted from the Not Reconciled tab. Only the Remittances which you currently have displayed are submitted.

Some Claims which have previously been refused by an Insurer may appear in the Refusal Summary report, but will not appear in the Not Reconciled tab. These include:

1. Resubmitted Claims that have been paid in full. - These Claims will appear in the Remittances tab.
2. Resubmitted Claims that are "outstanding" (i.e. still being processed by the Insurer and/or the remittance file has not been downloaded). - These claims will appear in the Accounts Receivable tab.
3. Refused Claims that are flagged as "unmatched." - These claims will appear in the Unmatched Remittances tab.
4. Refused Claims which have been written off.