After one or more Claims are submitted to a payer, the payer will determine how much the provider will be compensated for the procedures performed. When this payment is made to the provider, the patient is usually informed that the payer is making the payment by receiving a statement, called an "Explanation of Benefits", from the payer. The provider is paid and is informed as to which procedures are being paid via a statement called an "Explanation of Payments" or "EOP".
All EOPs are accessed through the main toolbar. (seen in image at
the right) Near the end of the
toolbar you will see a label EOP. Under the EOP label are
two buttons, New and Find. These buttons are used
to record a New explanation of payment in TFM and to
Find one or more EOPs already recorded in TFM. Both of these
TFM operations are documented in the following sections,
Find EOP and
Summary.