Confirm the balance
Check payer adjudication, secondary coverage, payments, and adjustments before a patient balance moves to statements.
Service 09 / 09
After payer adjudication, the remaining balance needs the same care as the rest of the claim. FERO supports statement readiness, balance review, and patient inquiry routing.
The challenge
An unclear adjustment, pending secondary claim, or unapplied payment can create a confusing bill and more work for patients and staff.
Make the patient balance handoff accurate, understandable, and connected to the payer record.
Where robot workers fit
Tasks are mapped to the systems and controls in your environment. People review exceptions and remain accountable for decisions.
Check payer adjudication, secondary coverage, payments, and adjustments before a patient balance moves to statements.
Keep statement status, inquiry notes, and next actions together so staff can answer questions with the claim context in view.
Send coverage questions, payment issues, and financial assistance requests to the right practice owner.
Operational blueprint
A useful worker has known inputs, an exception path, and measures that reveal whether the process is helping.
A case in the queue
A primary ERA leaves a patient balance while a secondary claim remains pending. The worker holds the account for review instead of sending an incomplete statement.
The human role
Practice staff handle patient conversations, financial policies, disputes, and sensitive balance decisions.
The intended result
The goal is a clearer patient billing experience and fewer avoidable account corrections.
Start with a conversation
Tell us where work gets stuck. We will explore the process, the people involved, and where robot workers can make a useful difference.