HSA means 'Health Savings Account'. When a patient has an HSA account, then the HSA account can be used against a particular visit of the patient. After receipt of a Primary / Secondary EOB, when the responsibility is with the patient, one more EOB (in paper / ELE) will be received from the HSA. Although it is received as an Insurance EOB, it is treated like a Patient Receipt.  When an HSA or HRA pays for the patient responsibility, they send an EOB/ELE. Hence, a provision is made to accept such an HSA or HRA as a Carrier on the EOB/ERA screen, which allows users to change the 'Paid As' value from the dropdown to 'HSA' only if the patient has responsibility against that claim, and when posted, it would affect the patient responsibility only and not the insurance responsibility, even if the EOB is being posted.

Note:  The option 'HSA' in the 'Paid As' Pri/Sec/Ter dropdown at the Claim level will be enabled only if there is patient responsibility against any charge line, and users need to explicitly select this option from the dropdown.

When a claim on the EOB screen is marked as 'HSA' from the 'Paid As' dropdown:
The salient features are listed below:

• Middle Frame: Dropdown 'A2' and Button 'I' in the middle frame on the EOB screen are disabled.
• Middle Frame: 'Recoup' for the 'HSA' payment is not allowed.
• Lower Frame: It might so happen that the claim also contains other charge rows having responsibility associated with Primary/Secondary insurances other than the charge row with patient responsibility. In such a case, all the fields for those charge rows having responsibility with Primary/Secondary insurances would be disabled. But all the fields having patient responsibility with 'Paid As' selected as 'HSA' for this charge row would be enabled except for the 'Paid' amount field.
• It is likely that while the 'Paid As' option was 'PRI', the user entered some Paid Amount and then changed it to 'HSA'. In such a case, the Paid Amount, although disabled, is not zero. This error will be trapped when the voucher is marked as Ready to Post. The property 'era.validate.conditions' now has an additional character 'H' supported for this HSA check.
• Lower Frame: When a Primary/Secondary EOB is already received for the claim and a new EOB is created for the same claim having patient responsibility against some charge rows, then all the charge rows displayed on the EOB screen are marked as a 'Duplicate' payment and highlighted with a red background.

 The red color for the 'Duplicate' payment would be removed and the payment status would change from 'Duplicate' to 'Normal' as soon as the 'Paid As' option is chosen as 'HSA' for the charge rows having patient responsibility.

• Lower Frame: Button 'Excess', Button 'Wo', Status List Box, Button 'Action', and Checkbox 'Bill Pat' are disabled for the HSA payment.
• Lower Frame: The system will disable the 'CoIns', 'Copay', 'Deduct', and 'NotCov' amount fields.
• Lower Frame: In case a charge row is selected where the responsibility was with, say, Pri/Sec, and not with the patient, even then the 'Paid' Amount will be disabled.
• Patient Account Screen: Under the remittance table on the Patient Account screen, an entry is created for the EOB received from the 'HSA' account with the prefix 'Hsa' under the 'Payor Name' column with Pri/Sec/Ter insurance.
• Reports >> Statement and Ledger: An entry for the 'HSA' transaction is created and will show the ERA number but will reduce the Patient Responsibility. Hence, next to the Carrier Name, the word 'HSA/HRA' is printed for patients to understand that it's an 'HSA' payment which resulted in the reduction of patient responsibility.
• Reports >> Summary: The predefined amount '212' is added to display the total of all HSA/HRA payments received through EOBs on the summary reports with a hyperlink.
• Reports >> Tabular: A tabular report for 'HSA/HRA' payments received, displaying the patient name, DOS, HSA/HRA name, Amount Paid, etc., is incorporated. The 'HSA HRA Receipts' tabular report is added to the system having code: 'HSA01' and classification code: 'HSA HRA Receipts'.

Note:  The 'HSA' account is not applicable to Capitation Type Claims and Employer Billing claims.