Product / Underpayments
The claims marked paid are the ones to read.
When a payer takes a larger contractual adjustment than the contract allows, the claim settles as a zero-balance transaction — no denial code, no work item, no alarm. Denial tools never see it, because there is nothing in the denial queue to see.
The claims marked paid are the ones to read.
When a payer takes a larger contractual adjustment than the contract allows, the claim settles as a zero-balance transaction. No denial code, no work item, no alarm — your software files it under finished.
- Denial tools never see it — there is nothing in the denial queue to see.
- Merid checks every paid line against your contracted rate and surfaces the shortfall with the arithmetic attached.
- For a billing company, this is pure new recovery — money your current process cannot be working, because it was never told it exists.
Every remittance is also balance-checked to the cent — the stated deposit must equal the claims paid minus every provider-level adjustment. A file that doesn’t add up is quarantined for a human, never silently ingested.