> ## Documentation Index
> Fetch the complete documentation index at: https://help.elationhealth.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Processing Virtual Card Insurance Payments

> Learn how to process virtual card payments from insurance in Elation Billing

This article explains how to process Virtual Card (credit card) payments from insurances in Elation Billing.

## Overview

While a more streamlined workflow is being developed, below is the recommended workflow for processing Virtual Card Remits (credit card payments from insurances).

### Things to Know Before You Start

* Due to workaround steps, these payments will appear on the EHR's Patient Payment Report
* You will need to enable the Legacy Payment Workflow (at least temporarily)

## Workflow Instructions

### Enable Legacy Payment Workflow

1. In Elation Billing, navigate to **Settings** → **Practice Settings**
2. Select the **Billing Rules** tab
3. Enable **Legacy Payment Workflow**

***

### Processing Virtual Card Payments

1. **Create Insurance Patient Chart** - In the EHR, create a Patient Chart for the Insurance (e.g., **Aetna Virtualcard**):
   * First/Last Name
   * DOB (choose any)
   * Sex at Birth (choose any)
   * Cellphone or Email for receipts (recommend your office email)

2. **Collect Credit Card Payment** - Collect a new Credit Card Payment on "Aetna Virtualcard" as an **Outstanding Balance**. Optionally add an Internal Note.

3. **Create Insurance Payment** - In Elation Billing, create a **New Insurance Payment**. Post as usual (include VC number as Reference number). This allows you to:
   * Track it as an insurance payment
   * Use Auto Post when available

4. **Zero Out Patient Payment** - With Legacy Payment Workflow enabled, edit "Aetna Virtualcard's" Payment in Elation Billing and change the Payment Amount to **\$0**.

## Related Articles

* [Activating Legacy Payment Workflow](/articles/activating-legacy-payment-workflow)
* [Posting a Payment in Elation Billing](/articles/posting-a-payment-in-elation-billing)
* [Viewing ERAs and Auto-Posting](/articles/viewing-eras-and-auto-posting)