Auto-matched tab
Outcome
Lines the matcher placed at high confidence are spot-checked, totals reconcile against the file footer, and you confirm the entire batch in one click.
Prerequisites
| Scope | What it lets you do |
|---|---|
billing.receivable.read | See the tab |
billing.receivable.write | Confirm |
What "auto-matched" means
The platform's matcher tries several keys in order:
Lines at high confidence land here. Lines at medium confidence land in 4.3 — Review. Lines at low or no confidence land in 4.4 — Unmatched.
The columns
| Column | Meaning |
|---|---|
| Claim | Our claim ID + status. |
| Payer claim control # | The payer's reference (CLP01). |
| Patient | Member name. |
| Billed | What we charged (CLP03). |
| Paid | What the payer paid (CLP04). |
| Adjustments | Sum of CAS rows. |
| Status | MATCHED (default) or MATCHED_FORCED (if force-match used elsewhere). |
| Confidence | Score 0-100 — high tab shows ≥ tenant threshold (default 90). |
Spot-check the totals
Before confirming, walk the Trace tab once:
| File field | Should equal |
|---|---|
BPR02 | Sum of all CLP04s + global adjustments. |
| Sum of CLP03 | Sum of CLP04 + CAS totals on each. |
The platform flags any discrepancy as a variance on the Exceptions tab; if Exceptions is empty, the file is internally consistent.
Confirming
Open the tab at
/receivables/:id.Scan the rows. Click into anything that looks unusual (large adjustment, unfamiliar member, payer not what you expected).
Click
Confirm auto-matched. The platform stamps each row as confirmed — they will post when you clickPoston the receivable.
Confirm auto-matched is bulk; you can also confirm individual rows
via the row's Actions menu if you want partial confirmation.
Per-line drill
Clicking a row opens a side panel:
| Panel section | Meaning |
|---|---|
| Service line detail | One row per SVC — billed, paid, adjustments per line. |
| Adjustments | CAS rows with group code + reason code (CARC). |
| Remarks | LQ segments (RARC). |
| Linked claim | Our claim's full detail (links out). |
Spot-check the linked claim if a row's amount looks wrong.
What the platform does on Confirm
- Marks each line
MATCHED. - Locks the matching to its claim.
- Updates the receivable status (
AUTO_MATCHEDif all tabs are clean).
Posting (a separate click) is what writes the financial entries — see 4.6 — Adjustments & variances and the Click Post step in Day 1 posting clerk.
Validation
| Check | Expected |
|---|---|
Confirm auto-matched is enabled when all rows are at threshold | Yes. |
| Trace tab footer = sum of CLP04 + global CAS | Yes; otherwise a variance will be on Exceptions. |
| Per-line drill shows CARC/RARC | Yes. |
| Confirmed rows show a check chip | Yes. |
Troubleshooting
| Symptom | Cause | Fix |
|---|---|---|
Confirm auto-matched greyed | Some rows fall below the post-confirmation threshold | Open them and confirm individually — the row tells you why it's borderline. |
| Some rows missing despite the file having them | They fell to Review or Unmatched | Switch tabs; the count chips on each tab show the breakdown. |
| Total under the tab heading doesn't match BPR02 | Some lines on Review / Unmatched | Sum across tabs equals BPR02 once you've confirmed everything. |
Adjustments column is $0.00 but you expect a CAS | Payer sent CAS at the global (BPR) level, not per claim | See the Adjustments tab — global CAS lives there. |
Where to next
- 4.3 — Review & confirm for medium- confidence matches.
- 4.4 — Unmatched & manual match for the no-candidate flow.