video1.0<iframe src="https://www.loom.com/embed/35c2073029c54d999a363eacf07e48b7" frameborder="0" width="1912" height="1434" webkitallowfullscreen mozallowfullscreen allowfullscreen></iframe>14341912Loomhttps://www.loom.com14341912https://cdn.loom.com/sessions/thumbnails/35c2073029c54d999a363eacf07e48b7-af192231338a7d4d.gif309.666633This Loom explains how to edit an already approved lesson note when the associated appointment has already been billed. If the note has not been billed, you can unapprove and edit directly, but if it has been billed there is no unapproved option and you must release the claim in AR Manager. The presenter selects the payer, finds the claim with the appointment on October 16, uses the More menu to release the claim, refreshes the practice management platform, and then clicks unapprove to place the note in pending status for editing. After edits, the note is sent back for re-signing, then the appointment must be rebuilt using a fake billing process by locating the pair and detaching the clearing house (set to none) to keep accounting accurate.