If the allowed amount in the EOB differs from what appears on the Insurance Payment Posting form, should you change it?

If the allowed amount in the EOB differs from what appears on the Insurance Payment Posting form, should you change it?

• A. Yes
• B. No
• C. Sometimes
• D. Only if supervisor approves

Answer: (A)

The amount allowed by the payer on the EOB is the official figure to use when posting. The Insurance Payment Posting form should reflect that amount, so if the EOB and the posting differ, update the posting to match the EOB. This keeps patient balances correct, ensures the posted payment aligns with what the insurer approved, and supports clear, auditable records. Verify the EOB details, make the update in the system, and document the adjustment according to policy.

The amount allowed by the payer on the EOB is the official figure to use when posting. The Insurance Payment Posting form should reflect that amount, so if the EOB and the posting differ, update the posting to match the EOB. This keeps patient balances correct, ensures the posted payment aligns with what the insurer approved, and supports clear, auditable records. Verify the EOB details, make the update in the system, and document the adjustment according to policy.