Increasingly employers are offering employees an HRA, or Health Reimbursement Arrangement accounts to help offset medical expenses. It's not really an insurance payment or a patient payment.
Currently, we do not have the option to post the HRA payment and designate it as such in DrChrono; however, as a workaround, we can post the HRA payments in two ways.
- Adding HRA as secondary/tertiary insurance
- By posting as patient payment.
Now, let us see how to post the payment by adding HRA an insurance.
1. Open patient demographics.
2. Navigate to the Insurances tab, and select secondary insurance. (If the patient has secondary insurance, you can use the tertiary insurance tab instead.)
3. Enter HRA in the Insurance company field and click Save Demographics.
4. Now, open the appointment’s billing details screen to which we need to post the payment.
5. Click on the + sign corresponding to the line item to add a new transaction.
6. Select the check date, posted date, and enter the check# if you have one.
- Entering the check number here will be helpful if any research is needed for the payment in the future.
- In addition, you can scan and upload a copy of the check and add it to the account so that if an image of the payment is needed in the future, it can be accessed easily. See this help desk article for information on how to scan and attach EOBs to your account (link).
7. From the reason code drop-down, select Insurance payment and enter the payment in the Ins 1 paid field.
8. From the insurance drop-down, please select  HRA (or  if in the tertiary insurance field) and click on Verify and Save.
Now, we will see how to post HRA payment as a patient payment.
1. Hover the cursor on the Billing tab and select Patient Payments 2.0.
2. Click on the Payments tab and enter the patient name in the respective field and click on Update.
3. Select the patient and their patient payment tab will open. It will display all payments received, along with any unallocated money the patient has on their account.
4. To add a payment, click on the green + Add button
5. A New Cash window will open so you can enter the payment details.
- Payment Date - The date you are posting the payment
- Appointment - You can use the drop-down to assign the payment to a specific appointment, or if you leave it blank the payment will be added to the patient's unallocated payment section to be used at a future time/future visit.
- Line Item - If you select a specific appointment to apply the payment, you can specify which line item (CPT/HCPCS/Custom Code) the payment should be applied to. Any charges on the specific appointment will show in the drop-down.
- Provider - this line designates the provider for the specific payment. It can be left blank if you prefer.
- Payment Method - this is to identify the type of payment (cash, check, etc)
- Type - this is to specify the type of payment.
- Credit - a payment on the account
- Refund - an amount is being refunded to the patient
- Correction - used to correct a previous posting error
- Copay/Coinsurance - used to identify the payment as a copay/coinsurance
- Other - used for situations not specifically mentioned above
- Notes - This section is used to document check/money order numbers or any other details about the payment that could be useful later. The information listed here can come in handy if any research is needed in the future regarding the payment.
6. Enter the payment details and click on Add.
7. The payment will now be visible on the patient's account. If it is not applied to a specific appointment, it will show as unallocated (marked in red). If it is attached to a particular appointment and/or line item, the information will show in the spots marked by the blue boxes.
- You can also use the red/gray bubbles as a visual to see if a patient's payment is unallocated or fully allocated. The black arrow just to the left of the red/gray bubble will expand and show you additional details regarding how the payment was applied. This is especially useful when the payment has been applied to multiple appointments.
8. To move money from Unallocated Payment and associate it with an appointment, click on the circle over on the right, sometimes referred to as a radio button.
9. Once you click on the radio button, a Move Cash window will open. This will allow you to select the appointment and the line item, as well as the amount to transfer.
- For the example below, even though the patient has $25 in their unallocated cash, we can choose only to move $5 or $10 of it and leave the remaining unallocated, or use it for a different appointment.
- To change the amount, just click on the box on the Amount line and adjust it to fit your situation.
10. Once all fields are filled in, click on Move and the system will move the cash as you have requested.