Create a trigger to bring updated patient balances over in real-time. We are missing an update patient trigger that will include some coding to indicate a non-demographic update for when the patient total balance changes. So that every time there is a change to the patient's balance, we will get that information. Having this financial trigger in the Auditlog will allow us to bring those balances across in real-time.

The reason the balances currently don’t update in real-time is due the fact that MicroMD doesn’t have a trigger that their interface (or any vendor interface) can be set to read to know there was a patient balance change. It would be to cumbersome for the interface to constantly sweep for patient balance updates, but the trigger would allow the interface to update a particular patient balance.