Reconciling EFTs from Insurance Companies

[jmerhar]

I receive ERA eob's, the check still comes in the mail.  The ones we don't have a contract with are easy to work with, however the Delta Dental ones (Individual plans, that I still have an actual eob for, I like to post in ERA as it puts the eob right into their documents)  The write off's are not always correct and a harder to figure out electronically.  It would be a nightmare if I allowed all of Delta Dental come electronically.

[lakegirl]

Suzanne, how was that caught? the embezzlement? and what have you done to rectify? 

[suzanne]

Softdent is really lacking in appropriate security and other measures for checks and balances, so I probably shouldn't go into the embezzlement detail on this forum.  Rectifying and/or preventing future occurrences has been difficult due to the additional issues with simply matching up EFTs with bank statements.  When one method of payment doesn't rectify, it tends to have a domino effect.  I'm going into the third year of fixing this problem.