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Provider Workflows
Chart Notes
Auto-apply KX Modifier
Getting Started with Chart Notes
AI Appt. Summaries
Chart Note Clinical Types
Download Chart Notes as PDFs
Goals on the chart note
How to add Measurements
Import Previous Medical History
Navigating Flowsheets
Navigating Inbox Workflows
Navigating the Chart Note
Set up Custom Chart Note Templates
Setting up Co-signers on Your Note
Sign a Chart Note
Text Snippets For Your Note
Chart Note Features Not Supported
Chart Notes
Claim Details
Claim Details
Front Office Workflows
Appointments
The Insights Appointments Page
Adding Prior Auth and Alerting
Alternate Methods for Scheduling
How to Add a Walk-In Patient
How to Run an Eligibility Check
How to Schedule an Appointment
How to Take Payments
Sending out reminders and forms
Understanding Appointment Details
Updating Appointment Statuses
Appt. Features not supported
Appointments
Daily Operations
Daily Operations
Patient Communications
General Patient Flows Features
Text Blast Page
Insurance Intake Page
Functional Outcome Measurements
Getting Started with Patient Portal
Complete Intake Forms
Navigating Patient Workflows
Manage Patient Appointments
Manage Payments through Patient Portal
Patient Intake Automation
Update Insurance Info
View Home Exercise Programs
Patient Communications
Patient Responsibility
Charge Saved Credit Cards
Manage Credit Cards
Setting up a Payment Plan
How to Cancel PR
How to Send a Patient Payment Link
How to Push to PR
How to Record Payments
How to Refund a Payment
How to Request via Text or Email
How to Set Up Miscellaneous Line Item Charges
How to Take Payment for Families
How to Undo a Write Off
How to Write Off PR
Patient Responsibility Page
PR Overpayment Refunds and Estimated vs. Remittance PR
PR Settings
PR Timeline
Patient Responsibility
Billing Workflows
Front Office Payments
Front Office Payments
Reports
A/R Reports
Building and Running Reports
Claim Adjustments Report
Collections Report
Custom Collections Report
Detailed Charges Report
Export Claim Details
Generate a Transaction Report
Patient Balances Report
Patient Charges Report
Patient Claims One-pagers
Patient Collections Report
Patient Eligibility Report
Posting Log Report
Site Transaction Report
Site Transaction Report Summary
Submitted Claims Report
Upcoming Patient Statements Report
Reports
Owners & Administration
Last updated:
Aug 4, 2025
How to Write Off PR
Patient Responsibility
Front Office Workflows
Clarification: Write-off vs. Cancellation This guide describes how to write off patient responsibility, which is a distinct concept from cancelling PR. Here’s the difference:
Write Off PR: This is your practice determining that — while PR may technically be due — your practice is not going to collect it. For example a patient who is unable to pay, and it’s not worth your staff’s time to pursue the bad debt. All PR can be written off.
Cancel PR: This is your practice saying that the PR is incorrect, that it should never have existed in the first place, and for that reason you are erasing it. There are some restrictions on what types of PR can be cancelled. To learn about those, please read the help guide: How to cancel patient responsibility.
Here's How to Do It
Navigate to the patient's profile. Click 'View Details' on the charges in the Charges tab.

Click the 'Write Off' button.

This will open the write off patient responsibility window. Enter the portion of the total PR you would like to write off — it can be as much of as little as you like.

Document the reason you are performing this write-off. The dropdown comes pre-filled with a standardized selection of write-off reasons, however you also have the option to specify a custom reason if you prefer.

Then click the ‘Confirm’ button to finalize your write-off.
Write Off Complete!
The PR you wrote off will now be listed in the charges view, and the patient’s outstanding balance will be updated across Athelas Insights to reflect your action.
Troubleshooting
Help! It won’t let me do a write-off! If the PR you’re trying to cancel has a disabled ‘Write Off’ button, hover your mouse over the button to get a tooltip that will explain what the issue is.
Most often the PR has already been paid, and the payment will need to be refunded before the PR can be written-off. See guide on How to refund a payment.

Oops… what should I do if I wrote-off something that I shouldn’t have? Never fear, all write-offs are 100% reversible.
If you’ve still got the write-off in front of you:
Click the ‘Write Off’ button again to open the write off controls.
Then click the red ‘Remove Write Off’ button and you’re all set.

If you’re starting from scratch, head over the the help guide: How to undo a write-off.
Other Resources
To learn how to write off a balance with the Posting Tool, first read this guide on Posting, and then check out this guide on Posting Tools. It’ll be worth it, understanding Posting in Insights will significantly enhance your ability to rake in payments for your practice.
Table of Contents
Search all docs
Provider Workflows
Chart Notes
Auto-apply KX Modifier
Getting Started with Chart Notes
AI Appt. Summaries
Chart Note Clinical Types
Download Chart Notes as PDFs
Goals on the chart note
How to add Measurements
Import Previous Medical History
Navigating Flowsheets
Navigating Inbox Workflows
Navigating the Chart Note
Set up Custom Chart Note Templates
Setting up Co-signers on Your Note
Sign a Chart Note
Text Snippets For Your Note
Chart Note Features Not Supported
Chart Notes
Claim Details
Claim Details
Front Office Workflows
Appointments
The Insights Appointments Page
Adding Prior Auth and Alerting
Alternate Methods for Scheduling
How to Add a Walk-In Patient
How to Run an Eligibility Check
How to Schedule an Appointment
How to Take Payments
Sending out reminders and forms
Understanding Appointment Details
Updating Appointment Statuses
Appt. Features not supported
Appointments
Daily Operations
Daily Operations
Patient Communications
General Patient Flows Features
Text Blast Page
Insurance Intake Page
Functional Outcome Measurements
Getting Started with Patient Portal
Complete Intake Forms
Navigating Patient Workflows
Manage Patient Appointments
Manage Payments through Patient Portal
Patient Intake Automation
Update Insurance Info
View Home Exercise Programs
Patient Communications
Patient Responsibility
Charge Saved Credit Cards
Manage Credit Cards
Setting up a Payment Plan
How to Cancel PR
How to Send a Patient Payment Link
How to Push to PR
How to Record Payments
How to Refund a Payment
How to Request via Text or Email
How to Set Up Miscellaneous Line Item Charges
How to Take Payment for Families
How to Undo a Write Off
How to Write Off PR
Patient Responsibility Page
PR Overpayment Refunds and Estimated vs. Remittance PR
PR Settings
PR Timeline
Patient Responsibility
Billing Workflows
Front Office Payments
Front Office Payments
Reports
A/R Reports
Building and Running Reports
Claim Adjustments Report
Collections Report
Custom Collections Report
Detailed Charges Report
Export Claim Details
Generate a Transaction Report
Patient Balances Report
Patient Charges Report
Patient Claims One-pagers
Patient Collections Report
Patient Eligibility Report
Posting Log Report
Site Transaction Report
Site Transaction Report Summary
Submitted Claims Report
Upcoming Patient Statements Report
Reports
Owners & Administration
Search all docs
Provider Workflows
Chart Notes
Auto-apply KX Modifier
Getting Started with Chart Notes
AI Appt. Summaries
Chart Note Clinical Types
Download Chart Notes as PDFs
Goals on the chart note
How to add Measurements
Import Previous Medical History
Navigating Flowsheets
Navigating Inbox Workflows
Navigating the Chart Note
Set up Custom Chart Note Templates
Setting up Co-signers on Your Note
Sign a Chart Note
Text Snippets For Your Note
Chart Note Features Not Supported
Chart Notes
Claim Details
Claim Details
Front Office Workflows
Appointments
The Insights Appointments Page
Adding Prior Auth and Alerting
Alternate Methods for Scheduling
How to Add a Walk-In Patient
How to Run an Eligibility Check
How to Schedule an Appointment
How to Take Payments
Sending out reminders and forms
Understanding Appointment Details
Updating Appointment Statuses
Appt. Features not supported
Appointments
Daily Operations
Daily Operations
Patient Communications
General Patient Flows Features
Text Blast Page
Insurance Intake Page
Functional Outcome Measurements
Getting Started with Patient Portal
Complete Intake Forms
Navigating Patient Workflows
Manage Patient Appointments
Manage Payments through Patient Portal
Patient Intake Automation
Update Insurance Info
View Home Exercise Programs
Patient Communications
Patient Responsibility
Charge Saved Credit Cards
Manage Credit Cards
Setting up a Payment Plan
How to Cancel PR
How to Send a Patient Payment Link
How to Push to PR
How to Record Payments
How to Refund a Payment
How to Request via Text or Email
How to Set Up Miscellaneous Line Item Charges
How to Take Payment for Families
How to Undo a Write Off
How to Write Off PR
Patient Responsibility Page
PR Overpayment Refunds and Estimated vs. Remittance PR
PR Settings
PR Timeline
Patient Responsibility
Billing Workflows
Front Office Payments
Front Office Payments
Reports
A/R Reports
Building and Running Reports
Claim Adjustments Report
Collections Report
Custom Collections Report
Detailed Charges Report
Export Claim Details
Generate a Transaction Report
Patient Balances Report
Patient Charges Report
Patient Claims One-pagers
Patient Collections Report
Patient Eligibility Report
Posting Log Report
Site Transaction Report
Site Transaction Report Summary
Submitted Claims Report
Upcoming Patient Statements Report
Reports
Owners & Administration
Last updated:
Aug 4, 2025
How to Write Off PR
Patient Responsibility
Front Office Workflows
Clarification: Write-off vs. Cancellation This guide describes how to write off patient responsibility, which is a distinct concept from cancelling PR. Here’s the difference:
Write Off PR: This is your practice determining that — while PR may technically be due — your practice is not going to collect it. For example a patient who is unable to pay, and it’s not worth your staff’s time to pursue the bad debt. All PR can be written off.
Cancel PR: This is your practice saying that the PR is incorrect, that it should never have existed in the first place, and for that reason you are erasing it. There are some restrictions on what types of PR can be cancelled. To learn about those, please read the help guide: How to cancel patient responsibility.
Here's How to Do It
Navigate to the patient's profile. Click 'View Details' on the charges in the Charges tab.

Click the 'Write Off' button.

This will open the write off patient responsibility window. Enter the portion of the total PR you would like to write off — it can be as much of as little as you like.

Document the reason you are performing this write-off. The dropdown comes pre-filled with a standardized selection of write-off reasons, however you also have the option to specify a custom reason if you prefer.

Then click the ‘Confirm’ button to finalize your write-off.
Write Off Complete!
The PR you wrote off will now be listed in the charges view, and the patient’s outstanding balance will be updated across Athelas Insights to reflect your action.
Troubleshooting
Help! It won’t let me do a write-off! If the PR you’re trying to cancel has a disabled ‘Write Off’ button, hover your mouse over the button to get a tooltip that will explain what the issue is.
Most often the PR has already been paid, and the payment will need to be refunded before the PR can be written-off. See guide on How to refund a payment.

Oops… what should I do if I wrote-off something that I shouldn’t have? Never fear, all write-offs are 100% reversible.
If you’ve still got the write-off in front of you:
Click the ‘Write Off’ button again to open the write off controls.
Then click the red ‘Remove Write Off’ button and you’re all set.

If you’re starting from scratch, head over the the help guide: How to undo a write-off.
Other Resources
To learn how to write off a balance with the Posting Tool, first read this guide on Posting, and then check out this guide on Posting Tools. It’ll be worth it, understanding Posting in Insights will significantly enhance your ability to rake in payments for your practice.
Last updated:
Aug 4, 2025
How to Write Off PR
Patient Responsibility
Front Office Workflows
Clarification: Write-off vs. Cancellation This guide describes how to write off patient responsibility, which is a distinct concept from cancelling PR. Here’s the difference:
Write Off PR: This is your practice determining that — while PR may technically be due — your practice is not going to collect it. For example a patient who is unable to pay, and it’s not worth your staff’s time to pursue the bad debt. All PR can be written off.
Cancel PR: This is your practice saying that the PR is incorrect, that it should never have existed in the first place, and for that reason you are erasing it. There are some restrictions on what types of PR can be cancelled. To learn about those, please read the help guide: How to cancel patient responsibility.
Here's How to Do It
Navigate to the patient's profile. Click 'View Details' on the charges in the Charges tab.

Click the 'Write Off' button.

This will open the write off patient responsibility window. Enter the portion of the total PR you would like to write off — it can be as much of as little as you like.

Document the reason you are performing this write-off. The dropdown comes pre-filled with a standardized selection of write-off reasons, however you also have the option to specify a custom reason if you prefer.

Then click the ‘Confirm’ button to finalize your write-off.
Write Off Complete!
The PR you wrote off will now be listed in the charges view, and the patient’s outstanding balance will be updated across Athelas Insights to reflect your action.
Troubleshooting
Help! It won’t let me do a write-off! If the PR you’re trying to cancel has a disabled ‘Write Off’ button, hover your mouse over the button to get a tooltip that will explain what the issue is.
Most often the PR has already been paid, and the payment will need to be refunded before the PR can be written-off. See guide on How to refund a payment.

Oops… what should I do if I wrote-off something that I shouldn’t have? Never fear, all write-offs are 100% reversible.
If you’ve still got the write-off in front of you:
Click the ‘Write Off’ button again to open the write off controls.
Then click the red ‘Remove Write Off’ button and you’re all set.

If you’re starting from scratch, head over the the help guide: How to undo a write-off.
Other Resources
To learn how to write off a balance with the Posting Tool, first read this guide on Posting, and then check out this guide on Posting Tools. It’ll be worth it, understanding Posting in Insights will significantly enhance your ability to rake in payments for your practice.