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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

ScopeWhat it lets you do
billing.receivable.readSee the tab
billing.receivable.writeConfirm

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

ColumnMeaning
ClaimOur claim ID + status.
Payer claim control #The payer's reference (CLP01).
PatientMember name.
BilledWhat we charged (CLP03).
PaidWhat the payer paid (CLP04).
AdjustmentsSum of CAS rows.
StatusMATCHED (default) or MATCHED_FORCED (if force-match used elsewhere).
ConfidenceScore 0-100 — high tab shows ≥ tenant threshold (default 90).

Spot-check the totals

Before confirming, walk the Trace tab once:

File fieldShould equal
BPR02Sum of all CLP04s + global adjustments.
Sum of CLP03Sum 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

  1. Open the tab at /receivables/:id.

  2. Scan the rows. Click into anything that looks unusual (large adjustment, unfamiliar member, payer not what you expected).

  3. Click Confirm auto-matched. The platform stamps each row as confirmed — they will post when you click Post on 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 sectionMeaning
Service line detailOne row per SVC — billed, paid, adjustments per line.
AdjustmentsCAS rows with group code + reason code (CARC).
RemarksLQ segments (RARC).
Linked claimOur 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_MATCHED if 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

CheckExpected
Confirm auto-matched is enabled when all rows are at thresholdYes.
Trace tab footer = sum of CLP04 + global CASYes; otherwise a variance will be on Exceptions.
Per-line drill shows CARC/RARCYes.
Confirmed rows show a check chipYes.

Troubleshooting

SymptomCauseFix
Confirm auto-matched greyedSome rows fall below the post-confirmation thresholdOpen them and confirm individually — the row tells you why it's borderline.
Some rows missing despite the file having themThey fell to Review or UnmatchedSwitch tabs; the count chips on each tab show the breakdown.
Total under the tab heading doesn't match BPR02Some lines on Review / UnmatchedSum across tabs equals BPR02 once you've confirmed everything.
Adjustments column is $0.00 but you expect a CASPayer sent CAS at the global (BPR) level, not per claimSee the Adjustments tab — global CAS lives there.

Where to next