Reverse a Claim Payment

Use this process to reverse a claim payment.

Process Steps:

To Reverse a Claim Payment:

1. Select the pencil of the payment record to reverse.

2. In the Payment Information section:

• • Select the Reversal Reason (required).

  • Enter the entire payment amount to be reversed.

  • Enter Payer First Name (required if Vendor Name and Vendor ID left blank).

  • Enter Payer Last Name (required if Vendor Name and Vendor ID left blank).

  • Enter Vendor Name (required if Payer First Name and Payer Last Name left blank).

  • Enter Vendor ID (required if Payer First Name and Payer Last Name left blank).

  • Enter the Receipt Number.

  • Enter the Check / Money Order Number (required when the Payment Method is Check or Money Order).

  • Enter the Date Received (required).

  • Click Add / Update.

Results of the Procedure:

The claim is reversed.  

Updated 05/09/2016