Patient Ledgers should reflect Gross Amounts
Patient ledgers should always reflect the gross payment amounts—the full payment a patient makes before processing fees are deducted. This ensures that your ledgers accurately show what was charged and paid by the patient, which is essential for transparency and reconciliation.
For example, if a patient Exam cost $100 and the patient made a full payment, you should post a $100 payment to the patient's ledger.
NexHealth’s Ledger Sync functionality will sync the gross payment amount to the patient’s ledger. If you do not have Ledger Sync functionality, you should manually create a payment in the patient’s ledger equal to the gross payment amount. You should not modify your ledger entries to account for payment processing fees.