About Patient Statement

Patient Statement consists of three reports:

  • Patient Statement Report (formerly the Summary Processing Report)
  • Patient Payment Report
  • Text to Pay
Patient Statement is a bill that contains the amount to be paid by the patient for the services availed at a Provider Facility. It displays:
  • Demographic details of patient and provider
  • Service details like date of service, charge amount, procedure and diagnosis code
  • Account balance and amount due from the patient
  • Insurance details

The patient statement data is sent from each of the Practice Management (PM) systems, i.e. athenaIDX™ for Group Management , athenaIDX™, and athenaPractice™, to Change Healthcare (CH) via EDI Gateway. athenaEDI™ (EDI) has partnered with Change Healthcare which is the clearing house for generating the printing and mailing of the statement and will provide a report to EDI with/of the details of each statement file process.

The Patient Statement Report provides a summary of the patient statement file sent to Change Healthcare from the PM system: number of statements included, number of statements processed, printed and suppressed by Change Healthcare.

The Patient Payment Report contains details on payments made by the patient for the services availed at the Provider Organization. The Patient Payment file, generated by Change Healthcare, is received from the EDI gateway and then routed to PM systems, i.e. athenaIDX for Group Management , athenaIDX, and athenaPractice. It then is imported into the EDI database and follows the flow of a remit file.

Patient Payment Report displays the following payment information:
  • File Name
  • Dates Received, Processed, and Settled
  • File Status
  • Provider ID
  • Payment Count
  • Amount
Clicking on the file displays the payment details including the following:
  • Account Number
  • Patient Name
  • Amount Paid
  • Payment Source
  • Payment Method
  • CHC Payment Type

Text to Pay is a mobile payment application developed in partnership with AccessOne. SMS text-based statement messages are sent to patients enabling collection of self-pay balances where patients can pay full or partial balances without being required to download an application or software. Patients can elect to opt out of receiving these messages. Text to Pay is HIPAA, PCI and TCPA compliant; data security is maintained through encryption and tokenized financial transactions.

The Text to Pay report lets you view and sort patient statements submitted to AccessOne for patient payment using Text to Pay. The report also allows you to filter across multiple files. Clicking on the Text to File Name displays all the accounts and detail in that file

Text to Pay is an add-on product. Please contact your athenaEDI sales representative for pricing or additional information.