The mentioned process only changes the ERA status and does not actually process the same, to process the ERA we are required to use Process button whereby a payment entry is created and use the proceed to post top apply the payment .
Go to Payments from the main menu and choose ERA Posting. From the ERA Posting screen, select the ERA and change its status from PENDING to PROCESSED and click on Change Status.
The payment will be missing under the posting screen due to the mismatch in the line status
The Claim Status should show as Denied and the details could be found by hovering the mouse over the Adj Amt. or Remark Code.
The ERA remains in Pending status whenever there is an unapplied amount that is yet to be applied
This is to be used in the scenario where the primary had already made the payment and when the secondary payment includes the primary adjudicated amount.
If we get unmatched claim, the system will not allow us to post the payment through era posting screen. However, we can create charges from Enter Charges and manually post the payment through Enter/Edit Payment screen with help of Payment No. or Check No.
We have unmatched claim whenever the ERA includes the claims which was submitted from different software or In scenarios where the CPT code in ERA is not mapped to the CPT used in Claims.
The feature is only applicable while posting patient payments. If the Auto Populate Paid Amount checkbox is selected, it should populate the PAID field with the available on-account patient balance.
To create a payment from the Payment Posting screen, go to Payments from the main menu and select Manual Posting. From the Manual Posting screen, select the New checkbox which should allow us to instantly create a new payment entry. Enter the Payment Date, Type and the Total Amount. A new payment entry will be created […]