GLOSSARY · GETTING PAID

One check,
many claimants.

The way workers’-comp payers actually pay: a single check covering bills for a dozen different injured workers at once, which you then allocate line by line against what you billed.

No card. No contract. Your data stays on your computer.
What it is

Payers pay in batches. You billed one at a time.

You bill per claimant, often per form. The payer pays per cycle. So the envelope that arrives contains one check and one EOR covering sixteen people, some of whom you billed three weeks ago on two forms each.

Allocating it means walking the remittance line by line, finding the bill each line belongs to, marking that bill paid, and noting anything that does not match. In Ohio, where three of the nine MCOs can carry nearly all of a week’s billings, most of your money arrives this way.

Why it matters to you

It is the single point where money goes missing.

16

Claimants on one check. You billed them one at a time, weeks apart, on two forms each.

Because the check total and the EOR total agree, a multi-claimant payment looks reconciled from the outside. The gaps are inside it: a bill paid at the wrong level, a B form nobody paid because the A form was ticked off, a line trimmed to the authorized units.

Two habits protect the money. Give every form — not every claimant — its own receivable row, so a partially paid claimant cannot look fully paid. And allocate against the billed line rather than the claimant total, so a difference has somewhere to show up.

Where to go next

Related pages.

Accounts receivable is the screen where a multi-claimant check is recorded once and allocated across everything it touches, with the gaps flagged in dollars as you go.

Short-pay  ·  Aging  ·  MCO

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