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  3. Approved service billing
Process · Approved service billing

Approved service billing

Invoice an already approved encounter charge and reconcile genuinely confirmed payments for the correct patient.

Step by step

  1. Select approved charge scope Clinical Coordinator

    Clinical Coordinator identifies the service charge and its linked encounter. Confirm the Approved state, amount and patient before requesting the authorized billing action. Charge approval provenance is agreed during setup.

    • Establish the approved service and correct patient
    • Updates Charges, Encounters, Patients
  2. Validate and invoice Clinical Coordinator

    The authorized command checks the encounter and amount before moving the eligible charge from Approved to Invoiced. An absent or negative amount, a Voided charge or a mismatched encounter must stop the operation without partial writes.

    • Move Approved to Invoiced after validation
    • Updates Charges, Encounters
  3. Ingest a confirmed payment Clinical Coordinator

    Clinical Coordinator supplies the authoritative confirmed payment information through the authorized command. Retain its patient, amount, received date and reference, and reject payment information belonging to another patient.

    • Retain the genuine confirmed payment and reference
    • Updates Payments, Patients
  4. Reconcile patient scope Clinical Coordinator

    Clinical Coordinator compares billed and confirmed paid scope for the patient. Keep Pending and Refunded payment states distinct and inspect discrepancies without assuming an unrecorded allocation to a particular charge.

    • Compare billed and paid scope for the same patient
    • Updates Charges, Encounters, Payments, Patients

Where it usually breaks

And how to keep it from happening.

  • The payment's patient differs from the charge's encounter patient. Reject the command before writing either effect.
  • A Voided or unapproved charge reaches invoicing. Resolve the approved source before the billing action proceeds.
  • A repeated request duplicates an effect. Preserve the original operation identity and confirm its existing result.
Clinical Coordinator
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Clinical review and governance roles retain their separate responsibilities and do not gain billing access from this process.

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