Pear Suite facilitates collecting co-payment from members when you generate an insurance claim. This is typically done manually when you are generating a claim, but can also be done automatically based on the Electronic Remittance Advice (ERA) generated from the primary insurance payer. 

Set Up Payout Account
To set this up, you must first have a connected Stripe account, referred to as a Payout Account in Pear Suite. Pear Suite transfers funds to this Stripe account, which then deposits the funds in your bank account.

1. Go to the Organization page in Pear Suite
2. Click on Manage Plan
3. Click on the green Create Payout Account button
4. From there, follow the prompts to either connect an existing Stripe account or create a new one. 

Send Co-Payment Requests to Members
Co-Payment requests must be tied to an existing claim. Once you've generated a claim for a service there are 2 places where you can initiate a co-payment request.
 

• From the Claim Details. Access the Claim Details from the Claims page and click “Request Payment”

• From the Member Profile. Scroll to the Member Payments section and click “Request Payment” 

That brings up the Request Payment screen.

In the Internal ID section, enter an invoice number or the date of service for which you are requesting a copayment. This number is not member-facing and is only for internal reference.

Enter the Dollar Amount and an optional Description, both of which will appear on the invoice sent to the member.  

Member Experience

• Please make sure your member has an email address on their member profile to receive the invoice you send.  
• Email invoices are not sent immediately but are sent in a batch overnight
• Invoices are sent from Stripe but will appear as coming from your organization. 
• The email invoice will include your business name, the amount due, the description you've entered, the due date and a button that says “Pay this Invoice”
• When a member clicks Pay this Invoice" they have an option to pay with a credit card or bank account number, with an option to save their payment info for future payments.
  

Payment Record
Once the member has paid their invoice, this is reflected in the Claim Details and the Member Profile. The status of the payment request will adjust to Paid.  You will also receive a notice from Stripe. 

The Member Payments section of the Member Profile includes an option to delete a payment request.  Please note that deleting this on a Paid request will result in an automatic refund of the payment.  

Requesting Member Payment from Electronic Remittance Advice

There is also an option to automatically send member payment invoices based on a member responsibility amount determined by the primary payer (the member's insurance). If enabled, the manual steps above are not needed. Once the member's primary insurance adjudicates the claim and determines the amount the member is responsible for, they return Electronic Remittance Advice (ERA) which Pear Suite uses to automatically invoice the member. To enable this feature please reach out to support@pearsuite.com.