Put the steps in the RA/EOB review process in the correct order. Decide whether any items on the RA/EOB need clarifying with the payer, and follow up as necessary. 1 2 Pay special attention to RA/EOBS for claims submitted with modifiers. Some payers' claim processing systems automatically ignore modifiers, so that E/M visits billed on the same date of service as a procedure are always unpaid and should be appealed. 3 Check the payment for each CPT against the expected amount, which may be an allowed amount or a percentage of the usual fee. Many practice-management programs build records of the amount each payer has paid for each CPT code as the data are entered. When another RA/EOB payment for the same CPT is posted, the program highlights any discrepancy for review. Verify that all billed CPT codes are listed. Check the patient's name, account number, insurance number, and date of service against the claim. Analyze the payer's adjustment codes to locate all unpaid, downcoded, or denied claims for closer review. Reset 4 5 6