Major billing issues with 5.0.2 - Please help

[jjalb (John Jalbert)]

@sjpadgett Ran through the test and it looks like everything is working now and not skipping the insurances if unpaid. Thanks so much Jerry!

Q: Is there a bug and/or suggestions thread anywhere to address issues that come up? I know some of this code has older origins and some of the thoughts behind fixes and changes have been lost over time. Some sort of thread like this might be helpful to existing as well as future users - I can only see the usage increase in the years to come. OpenEMR is too flexible to ignore.

I’ve also reviewed a demo of version 6.0 and it’s looking really good. Nice work!

[sjpadgett (Jerry P)]

You’re welcome John! So glad we got to put to bed this issue that has troubled you for so long.

A note on billing: IMO and after looking over much of the billing code, the module was a difficult one to develop and was very well done however, over time billing practices change and we’ve fallen behind.
It is my hope for v6.0 we’ll do some major modifications. Starting with tying everything together in one place with some better general ledger capabilities and allow making corrections in a claim maintenance screen. Also a claims builder so we can consolidate several encounter claims into one claim etc. ie Billing Manager on steroids! Anyway, just some of my thoughts and any issues you come across the best thing from a developers point of view is by opening an issue where we can track. Here is link: Issues · openemr/openemr · GitHub this is what we pay closest attention.

Concerning v6.0; Thank you on behalf of all of us developers. The modernization team headed by @tywrenn and @stu01509 with admin oversight is working hard(I mean hard) to get OpenEMR onto the small device environment for most of our capabilities, I’m sure they’ll appreciate your notice. Also our API’s(standard and FHIR) will be of note in next version. This allows for mobile and other app development. I think several folks are developing as I write this.

Good luck and stay safe.

[ncavalier (Nerik Cavalier)]

I have exact the same problem with secondary insurance payments posting, started from 5.0.1. Now after upgrading to 5.0.2(4), nothing changed. Before we had a problem only with old patients with more then 50 encounters, now after all upgrades we can’t post secondary insurance payments from Batch Payments.

[nursejeff (Jeff Guillory)]

@stephenwaite, We do not use ERA at all. We are still having a problem with the older Medicare 2ndary payments. If the EOB has several claims, sometimes 2 or 3 will not post. We are currently using Office Ally for medicare claims. Peggy

[ncavalier (Nerik Cavalier)]

Hi Jerry
I have exact the same problem with secondary insurance payments posting, started from 5.0.1. Now after upgrading to 5.0.2(4), nothing changed. Before we had a problem only with old patients with more then 50 encounters, now after all upgrades we can’t post any secondary insurance payments from Batch Payments.
There is no any problem with primary insurance payments posting, only with secondary.

Major billing issues with 5.0.2 - Please help

[image] We typically post insurance payments from Batch Payments. When we click on the "Show Primary complete it does gives us the outstanding 2ndary claim line however it also gives us every paid closed claim line also as in 2nd screen shot. [image] , when we input payment and click on post it goes to this next screen. [image] then if we "search payment to see if it is posted correctly it shows as unapplied. [image] at that time it also does not reflect payment in our daily balance. […

[ncavalier (Nerik Cavalier)]

Linux Mint 20 instalation

I changed browser from Firefox to Google Chrome and now the problem partially resolved, we can input payment amount, but when we start posting secondary claims payments, its going to blank screen or to new payment screen [Screenshot from 2020-09-26 17-02-59] Now we can save payment info and start posting [Screenshot from 2020-09-26 17-04-23] When we press ok to Post Payment, its going to new payment screen [Screenshot from 2020-09-26 16-25-39]

We did all recommended php settings, but no any changes in secondary posting

[ncavalier (Nerik Cavalier)]

We using 5.0.2(4) with php7.2.
php7.2 settings updated to recommended
upload_max_filesize = 32M
post_max_size = 48M
memory_limit = 256M
max_execution_time = 60
max_input_vars = 3000
max_input_time = 1000

After php settings update no any changes, same problems.

[sjpadgett (Jerry P)]

Want to note I added an addendum patch for patch 5 that includes all by pre-patches i’ve released here and there for bug fixes.

OpenEMR 5.0.2 Patch

For those folks that installed my pre-patches for 5, they are not included in patch 5. So if you’ve install patch 5 you will have overwritten my pre patches. Pre-patches were for billing, encounters, new LBF templates for Portal and a feature change of using the inactive portal-user to assign permissions for portal reports. I’ve attached a full patch that includes my pre-patches and the security fix. I don’t have time to do an official patch so, this at least won’t leave you hanging.