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Quicken Community / Forums / Quicken Medical Expense Manager / Insurance and Claims /
Matching deductible with EOB
May 30, 2007 11:53 am

[rbienstock]
rbienstock
New York
Total posts: 4
This post is about: Quicken Medical Expense Manager V2 2007
Unless I'm missing something, QMEM seems to apply the first $x against the individual and family deductibles. This seems to be making problems for me because I don't seem to have a place where I can record which particular expense the insurer chose to apply the deductible against. Thus if I run a deductible report QMEM has applied different expenses against the deductible than my insurer did. This problem is compounded by the fact that my insurer seems to process some claims faster than others, so I frequently have the deductible applied to treatment dates that are later than claims that are paid. Is there a way to specifically assign a particular non-reimbursement to the deductible?
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[Lea1]
Texas
Total posts: 1
Number of years using Quicken: 1 year or less
Windows XP
This is a new post #2
of 7 		Matching deductible with EOB
Oct 26, 2007 10:14 am 
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This post is about: Quicken Medical Expense Manager V2 2007
Replying to: annie64 (Sep 12, 2007 2:24 pm)
I had the same problem. I also had to make a spreadsheet in XL. There seems to be no solution to this problem as Quicken applies the first excluded amounts to deductible. I have fixed my Quicken (bandaid fix) to reflect the same amounts as the ins. co. by changing the date the service was performed. Then I go into the billing notes and make sure I record the date change for accounting purposes. Lea1

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  • lad999 (Oct 30, 2007 10:50 pm)



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    [lad999]

    Total posts: 1
    Quicken Premier 2006
    Windows XP
    This is a new post #3
    of 7         		Matching deductible with EOB
    Oct 30, 2007 09:50 pm 
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    This post is about: Quicken Medical Expense Manager V2 2007
    Replying to: Lea1 (Oct 26, 2007 11:14 am)
    Same here. Copays are not deductibles.

    Please update the 'My Payments & Copays' dialog to have both a checkbox for Copays and another checkbox for Deductibles. That way we are in control of designating which money is subtracted from the Deductibles. Otherwise, the 'Deductibles/OOP Max' report is useless.

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  • mrisman (Feb 20, 2008 8:06 pm)



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    [mrisman]

    Total posts: 38
    Voted helpful: 3
    Number of years using Quicken: 10+ years
    Quicken Premier 2009
    Windows XP
    This is a new post #4
    of 7         		Matching deductible with EOB
    Feb 20, 2008 07:06 pm 
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    This post is about: Quicken Medical Expense Manager V2 2007
    Same here, too. I noticed that there's a "copay" checkbox for each entry under "my payments & copays", but I'm not sure how that relates in either.

    One thing I did find was in the online help. There's a help screen entitled "About copays and deductibles", which lists a workaround. The instructions are to list the copay as a separate service. I was able to follow these instructions, which led to the report showing accurate totals for my deductible.

    However, my insurer counts copays toward the out-of-pocket maximum. Now that I've elminated my insurer from the copay service, my out-of-pocket amount on the Deductibles/OOP report is missing all of those expenses. How do I handle this situation?

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  • dbAnalyst (Feb 21, 2008 9:27 pm)



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    [dbAnalyst]

    Total posts: 1723
    Voted helpful: 14
    Number of years using Quicken: 10+ years
    Quicken Premier Home & Business 2006
    Windows XP
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    of 7         		Matching deductible with EOB
    Feb 21, 2008 08:27 pm 
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    This post is about: Quicken Medical Expense Manager V2 2007
    If your copay counts toward your OOP max, I think that I'd NOT list the copay as a separate service ... and instead list it as a separate PAYMENT. Possibly the only payment if insurance/write-off covers the rest.

    db

    THINK IT THRU! Have you explained your issue so that someone who knows nothing about you, or YOUR Quicken setup, can understand what your issue is? Are you using standard Quicken terminology, particularly with respect to FILES, ACCOUNTS and CATEGORIES?
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    [mrisman]

    Total posts: 38
    Voted helpful: 3
    Number of years using Quicken: 10+ years
    Quicken Premier 2009
    Windows XP
    This is a new post #6
    of 7         		Matching deductible with EOB
    Feb 23, 2008 07:40 pm 
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    This post is about: Quicken Medical Expense Manager V2 2007
    My insurer counts the copays toward the OOP max but not toward the deductible. If I include the copay portion in with the rest of the billed amount on one line in the list of services, my copay amount will show up in the deductible report; that's why I haven't been able to do it that way.

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  • apwilhelm (Feb 27, 2008 10:19 pm)



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    [apwilhelm]
    Illinois
    Total posts: 1302
    Voted helpful: 10
    Number of years using Quicken: 2 to 5 years
    Quicken Premier 2007
    Windows XP
    This is a new post #7
    of 7         		Matching deductible with EOB
    Feb 27, 2008 09:19 pm 
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    This post is about: Quicken Medical Expense Manager V2 2007
    The short answer is that you won't be able to get both reports to give you the right numbers. Cross your fingers for v3 [but don't hold your breath as you'll suffocate in the interim].

    -Tony

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