Zaya issues payouts weekly on Wednesdays for remits received the previous week (Monday through Sunday). You can view and track these from the Payouts page in your portal.
How to View Your Payouts
Navigate to the Payouts page
On the payouts table, you can view the following:
The payout date (the Wednesday the payment was issued)
The total payout amount
A list of remits included in that payout
To view details of a specific remit, click on any row to open a side panel with the remit information.
How to View and Understand Your Remits
When you click into a specific remit, you'll see a detailed breakdown organized into several key sections:
1. Header
- Patient Name
- Zaya Claim Number (a unique identifier for internal reference)
2. Patient Details
- Payer Name
- Member ID
3. Appointment Details
- Date of Service
- Rendering Provider
- Place of Service Code
4. Overview of Payment
This section displays the date the remit was paid out to the practice, along with a high-level summary of the payment details included in the remit.
Field | Description |
---|---|
Billed | Total amount billed by Zaya |
Allowed | Total amount the payer allows for the service |
ADJ | Total adjustments made by the payer |
PR | Total patient responsibility |
INS Paid | Total amount paid by the payer |
Service Fee | Zaya’s fee for processing the claim |
Provider Payout | Final amount paid out to the provider (Insurance Paid - Service Fee) |
5. Service Line Details
To see a breakdown at the service line level, click into the Service line details section. This includes:
Field | Description |
---|---|
Code | CPT code |
Units | Number of units billed |
MOD (Modifier) | Modifier codes, if applicable |
Billed | Amount billed for that specific line |
Allowed | Amount allowed by the payer |
ADJ | Adjustments made by the payer |
PR | Patient responsibility |
INS Paid | Amount paid by the payer |
At the bottom of the remit view, you’ll find definitions for any adjustment codes or patient responsibility codes shown. These are standardized codes sent by the payer that explain why adjustments were made.
Note: Over the next few weeks, you'll be able to download a PDF version of the EOB / remit directly from the portal.
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