How is reconciliation performed between Phreesia payments and the EMR/billing system?

• A. Reconcile daily transactions by matching Phreesia payment records to EMR/billing entries using transaction IDs, patient, and amount
• B. Reconcile weekly by totals
• C. No reconciliation
• D. Reconcile using patient name only

Answer: (A)

Reconciliation is about making sure every payment recorded in Phreesia has a matching entry in the EMR/billing system. The strongest approach is to perform this check daily by pairing the Phreesia payment records with the EMR/billing entries using three anchors: the transaction ID, the patient, and the amount. The transaction ID is a unique fingerprint that ties a payment to its source, so using it confirms you’re linking the exact payment to the exact charge. The patient ensures the payment goes to the correct person, and the amount confirms there’s no mismatch between what was charged and what was paid. Doing this every day helps catch and correct discrepancies quickly, keeps revenue accurate, and prevents gaps from building up.

Reconciliations done weekly by totals can miss individual mismatches and delays uncovering errors; not reconciling at all leaves revenue records vulnerable to drift over time; relying on patient name alone is unreliable due to duplicates and similar names and doesn’t verify the exact transaction or amount.