Retroactive Adjustments

Submit, review, and approve retroactive billing and eligibility adjustments

Pending Approval
6
$18,420 impact
Under Review
2
$7,890 impact
Approved (MTD)
14
$32,100 processed
Avg Processing Time
2.4d
Last 30 days
Financial Impact Summary — Pending Adjustments
-$12,450
Premium Credits
+$5,970
Premium Debits
-$6,480
Net Impact
Adj. IDMemberTypeRetro DateAmountReasonApproval StatusActions
Page Guide

Retroactive Adjustments correct past billing errors, eligibility changes, or rate misapplications. All adjustments require approval before posting.

  • Adjustments under $1K: Finance Manager approval
  • $1K-$5K: Finance Director approval
  • Over $5K: CFO approval required
  • Retro over 6 months: requires documentation
  • Rate Correction: Wrong rate applied historically
  • Eligibility Correction: Membership dates adjusted
  • Tier Change: Retroactive coverage tier update
  • Credit/Debit: Manual adjustments

All adjustment actions are logged with timestamp, user, and reason. The audit trail is immutable and available for compliance review.

Approve Adjustment

Reject Adjustment