First has the ability to import data from saved Molina data and create Billing or Adjustments.
To use this feature you need to save data from the Molina Reconciliation report.
First Log into Lasers and choose Molina Data and then Reconciliation Report.
When the Report shows add filters at the top, At least PROCESSED or No Payment Found in the status.
The filters can control what you recover such as a particular PROCCODE, The begin data can be a range such as 01/01/2025-01/31/2025
After the filters are set as appropriate then it is time to save the data to a file.
Choose the save icon and select CSV
Once CSV is clicked on it will prompt you to save the data via save box
Save the report (usually in your download folder but can be ANY)
After the report is saved, open the Import Recovery menu in FIRST
Depending on the selection in Molina No Payment Found or Processed select the menu item.
The open dialog will appear and the quickest way will be selecting Quick Access the Downloads.
At that time you should see your downloaded report, usually called simply Reconciliation Report (1).csv
You will be prompted for a date range to limit the import, use the same dates used to filter the Molina report usually.
Important differences between import No Payment Found and Processed.
When importing No Payment Found the data is put into FIRST and needs to be transferred into Medisoft the same way the regular Molina Import is done it is best to set the checkmarks in the transfer screen as the image below.
Check Do not create new adjustments and use the same dates you used to filter the data.
The transfer will add to Medisoft just like it normally does.
When transferring Processed the data will create adjustments with the Control Number included.
After the import go to the Enter Adjustment or Void screen.
You can view the overall results by selecting Print Ready button – Recommended
The Print Ready button will print a report based on what is ready to send to Medisoft along with the Monetary difference of Before and After. The Voids, Negative, Positive and Print View buttons will filter and can have reports on each issue.
The Transfer button will do create Cases with PA numbers and Control numbers in Medisoft and create transactions in Medisoft.
After the adjustments have been sent as claims you should wait some time before running this process again, as the Reconciliation Report at Molina may take some time to reflect all of the changes.
