Provider Payments

Payment

Tendo Marketplace sends providers reconciliation reports each week when we pay providers. Tendo sends a reconciliation report with each positive payment to a provider, and also sends a report with a negative balance if the provider owes Tendo money. Tendo does not send a report if there was no activity for that provider.

Providers use the reconciliation reports to apply payments from Tendo to the correct patient accounts.

Payment Method

Tendo pays providers via Automated Clearing House (ACH) for voucher actions (redemptions, unredemptions, and fund transfers) that happened during the previous period. Some providers prefer to refer to ACH as Electronic Funds Transfer (EFT). We don’t support any other payment methods beside pushing ACH payments weekly.

We support a variety of file formats that can accompany the payments (PDF, CSV, 835).

Payments Frequency

Tuesday Only Payment

Tendo pays most providers once a week on Tuesday. Tuesday voucher actions start Monday of the previous week to Sunday (8 days ago to 2 days ago).

Tuesday + Thursday Only Payment

We also offer payments twice a week on Tuesday and Thursday. If you are currently not receiving payments twice a week and would like to receive payments on Tuesday and Thursday, please reach out to your account manager.

• Tuesday voucher actions start Wednesday of the previous week to Sunday (6 days ago to 2 days ago).
• Thursday voucher actions are from Monday and Tuesday of the current week (3 days ago to 2 days ago).

Delayed Payments

Delayed payments for invoice purchases allow Tendo to delay payment for any voucher purchased via invoice until the voucher has been both redeemed and paid for by the company that purchased the voucher. The payment terms are determined by the provider contract. If you have any questions, please discuss it with your account manager.

For providers with delayed payments, Tendo pays at their normal frequency, but waits to pay them until the invoices are marked as paid for invoice purchases. For non-invoice purchases, the payment schedule is unchanged.

Reconciliation Reports

Three types of voucher actions appear on the reconciliation reports:

Redemptions

• These appear as positive payments for the amount being paid to the provider.
• In the Compensation Summary on the PDF report, the redemptions are summed as the Vouchers Redeemed this Period .

Unredemptions

• Unredemptions appear as recoups (negative payments) for the amount being paid to the provider.
• In the Compensation Summary on the PDF report, the unredemptions will be summed and included in the Adjustments from this Period with the funds transfers.

Funds Transfers

In the Compensation Summary on the PDF report, the funds transfers are summed and included in the Adjustments from this Period with the unredemptions.

Special Cases/Types of Voucher Actions

Redemptions with cash payment

For vouchers purchased with cash, one of the providers has accepted the cash from the patient. Tendo must receive that cash from the provider in order to pay out the providers of the bundle. Whenever a cash voucher is redeemed, Tendo will recoup the entire amount paid via cash from the provider who accepted the cash. For example, if a $100 voucher was paid using cash to the facility, the facility receives $70 as their portion of the bundle. Tendo will recoup $100 for the cash that was paid, and then pay the facility $70. This nets out to -$30 sent to the facility on that day’s payment.

Unredemptions for cash payment

For vouchers purchased with cash, one of the providers has accepted the cash from the patient. If the voucher is being unredeemed and the provider will refund the patient the cash, Tendo needs to send the cash back to the provider. Tendo will refund the entire amount taken as cash back to the provider who accepted the cash and then will recoup the payment for the voucher from the provider back to Tendo. For example, if Tendo unredeems a $100 voucher paid via cash to the facility and the facility receives $70 of the $100 as their portion of the bundle, Tendo pays $100 back to the facility, then recoups the $70 paid to the facility as its portion of the bundle. This nets out to $30 being sent to the facility on that day’s payment.

Redemption + Unredemption on the same report

If a voucher was redeemed and then unredeemed during the same payment period, Tendo will not include either on the report (as the actions will net out to $0).

Redemptions with promotional discount or multiple procedure discount

For vouchers with a discount, Tendo pays the contracted rate minus the discount when vouchers are paid for redemptions. On the PDF reconciliation report, Tendo shows the full total and then the discount side by side to net out to the correct amount.

Unredemptions with promotional discount or multiple procedure discount

• For vouchers with a discount, Tendo will recoup the contracted rate minus the discount.

  Monthly PT (Physical Therapy) payments

  • Some facility providers prefer monthly PT payments rather than weekly ones, as they reconcile PT accounts at month’s end. Tendo allows monthly PT payments. Vouchers are paid on the first Tuesday/Thursday of the month for all PT vouchers redeemed since last month’s report.

Carried Forwards

In addition to the three primary types of voucher actions, Tendo Marketplace can carry transactions forward from a previous report to the current report.

Tendo can carry forward balances from a previous period for three reasons:

1. The bank account or tax information was missing during the previous payment date.
2. If the previous report had a negative balance due to more unredemptions and/or cash than redemptions, Tendo will carry negative balances to the next report rather than requesting the provider to pay Tendo.
3. If a provider carries a deficit for several weeks or months, Tendo may ask the provider to write a check to Tendo to wipe out their deficit. This can happen when a facility accepts a lot of cash payments.

Reporting Options

Tendo Marketplace delivers PDF reconciliation reports to providers through mdsave.com. When the accounting team pays providers, emails are sent to each recipient of the reconciliation report letting them know a new report is available. The email is titled

For security reasons,Tendo Marketplace cannot send PDFs via email, but as a user with reconciliation access, you can log into mdsave.com and click the Reports tab to view your PDF reconciliation reports. You can filter and sort multiple reports from this page, and download CSV versions of them.

Electronic file formats that can be uploaded to your system can save you significant time and money when reconciling payments, but you also can download the reports and manually enter them into your system.

Tendo Marketplace reports are structured in three sections:

1. Vouchers Redeemed This Period:
   • Compensation - The amount contracted with Tendo Marketplace to pay for the services rendered.
   • Cash Collected in Facility - If cash was collected at the facility for a procedure purchased through Tendo Marketplace, the amount of that cash payment will be subtracted from the compensation. For vouchers paid with cash only, the amount collected will be greater than your compensation, as the cash collected is the full bundled price of the service which includes your facility’s portion, the portion for any other providers who are part of the procedure, and the Tendo Marketplace bundling fee.
   • Promotions - If your facility is participating in a promotional event with Tendo Marketplace, the agreed-upon additional discount will show up here.
2. Adjustments From This Period - This section reflects any new adjustments made to the current compensation balance. These adjustments are typically due to the reversal of an incorrect patient payment or an additional patient payment that should have been made in a prior period.
3. Adjustments From Previous Periods - This section reflects any additions or deductions from the current payment due to a payment statement generated during the previous period for which no payment was sent.

Facility and non-facility reconciliation reports are slightly different. The non-facility reconciliation reports are focused on the voucher number. The facility reconciliation reports are focused on the account number because the account number on the majority of vouchers is from the facility, and the physician group, anesthesia group, etc. don’t enter their own account number.

Electronic Fund Transfer (EFT) Enrollment (Institutional and Professional)

Tendo Marketplace requires all providers to enroll in EFT (Tendo Marketplace sends providers payment via an ACH deposit).

In order to enroll in EFT payments, Tendo Marketplace will send your staff a secure link so you can enter your bank account information as well as your tax information. This occurs when your provider initially contracts with Tendo Marketplace.

If at any time, you need to update your bank account information, please contact your Tendo Marketplace account manager, payment.team@mdsave.com, or accounting@mdsave.com.

All Tendo Marketplace ACH payments will contain a CCD+ addenda record with the TRN Reassociation Trace Number Segment that contains the EFT Trace Number that will match the trace number in the 835 ERA. Please note that Tendo Marketplace will send the trace number regardless of whether the provider receives an 835 ERA or not. If you have any questions about the trace number, please contact edisupport@mdsave.com.