> ## Documentation Index
> Fetch the complete documentation index at: https://docs.athelas.com/llms.txt
> Use this file to discover all available pages before exploring further.

# PR Overpayment Refunds and Estimated vs. Remittance PR

> How Insights reconciles up-front payments against finalized remittance PR, including overpayment credits.

When Insights receives a remittance, the patient responsibility (PR) it specifies is often different from what the patient paid at the time of service. This guide explains how payments and PR are reconciled.

## Part 1: In-Office

When a patient makes a payment in your office, two things are recorded on their profile:

* The patient's **payment** is recorded.
* Insights records **Estimated Patient Responsibility** based on the amount paid — a *placeholder* meant to be replaced by finalized PR once a remittance arrives.

Estimated PR is created in the exact amount and type of the payment to balance the account. For example, a \$20 copay records:

* `$20` Payment of type "Copay"
* `$20` Estimated PR of type "Copay"

This keeps the patient's balance unaffected by the payment, holding those funds until a remittance is received for the claim.

## Part 2: Post-Remittance

Once the payer sends a remittance, Insights updates the total PR:

* The PR for that date of service is updated to the amount in the remittance.
* The PR type changes from **Estimated PR** to **Post-Remittance PR**.
* The new PR is compared against what was paid:
  * **Payment equals PR** — no further action.
  * **Payment less than PR** — the difference is added to the patient's balance and included on their next statement.
  * **Payment greater than PR** — the overpayment becomes a **credit** on the patient's account.

<Note>
  Overpayment credits are **locked to the appointment's date of service** by default and won't automatically apply to balances for other dates of service, but your staff (or the patient) can apply them manually.
</Note>

## In Conclusion

Up-front collection will never perfectly match the payer's final decision. For the difference, Insights automatically takes the appropriate follow-up — adding a balance or issuing a credit — so your staff can focus on patients.