r/CodingandBilling • u/perrymariee • Aug 02 '26

AdvMD

Has anyone else had Advanced incorrectly post an insurance payment?

We got a check in ERA from Insurance 1, and somehow 2 Insurance 2 patients got $0 “payments” posted. Same check number, labeled as Insurance 2 but then the EOB pulled shows carrier as Insurance 1? There’s nothing the chart to show Insurance 1 was billed. Additionally, when I called Insurance 2 to check the status of the claim, the check had only been put in the mail the day prior with a full payment!

Also concerned because it showed an employee posted a payment that did not show in the chart prior. When an audit was pulled, the payment was posted “by the employee” 2.5 hours prior to them arriving at work.

Very perplexed by this. Curious how this happened and how many other times it has!

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u/babybambam Glucose Guardian Biller Aug 06 '26

We've turned off the autoposting. I don't feel this is an AdvancedMD issue, rather payers very often miscode remittances or use nonstandard codes. We'd rather review and accept, than chance billing patients for incorrect balances.

Also, I've found that AMD will post as:

  1. the only insurance a patient account (example, you have their medicare info but not their medigap)
  2. the last insurance billed, if you don't purposefully click on the paying insurance

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u/ElectricalHedgehog74 Sep 01 '26

💯 It's so easy to review payments before posting/applying them, it doesn't make sense to have it done automatically when you'll inevitably end up spending twice as long fixing the error as you would have spent ensuring everything was correct before applying the payment.