> ## Documentation Index
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# August 15, 2026 — Assignment and patient paid on claims

> Submitted insurance claims now carry the accept-assignment decision (box 27) and the client's already-paid amount (box 29) through to the payer.

<Note>
  Looking for older announcements? See [all past updates](/help/changelog/index).
</Note>

## Updates

### Assignment of benefits and patient amount paid now flow through to payers

Insurance claims submitted from Thrizer now carry two pieces of the claim through to the payer that previously did not reliably make it onto the submitted claim:

* **Box 27 — Accept assignment.** The claim's assignment-of-benefits decision is now stamped on both the electronic 837 submission and the manual ClaimMD CSV. When the client's plan assigns benefits to the provider (typical for **pay-in-full** claims where Thrizer is reimbursed directly), the claim is marked **Yes**. When benefits are assigned to the client (typical for **instant reimbursement** claims where the client already paid the full session fee up front), the claim is marked **No**.
* **Box 29 — Amount paid.** If the client has already paid any portion of the session fee at the time of submission, that amount now appears on the claim. Box 28 (the billed fee) is unchanged.

Previously, the submitted claim did not consistently reflect either value. Some payers reject or slow-walk a claim whose reimbursement routing does not match the plan's assignment of benefits, or whose patient-paid amount is blank when the client has already paid.

**Who this affects:** clinicians submitting insurance claims through Thrizer, and their clients. This applies to both automatic electronic submissions and manual ClaimMD CSV exports.

**Why it matters:**

* Pay-in-full and instant-reimbursement claims are now routed to the correct party (provider vs. client) at the payer, matching the plan's assignment of benefits.
* The client's already-paid amount is visible to the payer, so the explanation of benefits reflects what the client owes after the visit, not the full billed fee.

**What to do:** no action is needed. New claims built or resubmitted after this update pick up the correct box 27 and box 29 values automatically. Claims already submitted are not rewritten; if a previously submitted claim was rejected for assignment or patient-paid reasons, resubmit it.

See [How to submit a claim](/help/claims/how-to-submit-a-claim) and [Claim and billing limitations](/help/claims/claim-and-billing-limitations).