Electronic Remittance Advice(ERA) is an electronic version of a paper explanation of benefits (EOB), which allows you to auto-post payments as opposed to manually posting them.
To view and process the ERAs in the system, select Payments from the main menu, and then click on ERA Posting. When the ERA Posting screen opens up, provide appropriate search parameters. ERA Date, Payer, Status, Payment#, Check# are some of the search fields. The search screen is as shown in Image 1.
The ERAs will be listed as in Image 2.
Table 1 explains each column of the ERA Listing in detail.
Different Options Available in the ERA Listing screen:
A. Erroneous ERAs due to syntax or semantic errors in the 835 file structure would show up in the Unsaved ERA(s) (labeled A in Image 3). Clicking on the unsaved count hyperlink will open the file information in a pop-up window.
C. The system automatically retrieves ERAs once a day. If a user wants to specifically retrieve ERAs without waiting for the next day, he can do so by the button available on the top right of the page (labeled C in Image 3).
D. Payment# in the report column is a hyperlink (label D in Image 3) that opens the Payment Entry screen.
Posting ERAs :
1. Click on the Payer or the Open ERA button of the ERA to be posted. This opens the ERA page as in Image 4.
2. Initially, each patient record in the ERA page has a mark to indicate that it is an unmatched claim. Click on button to create a payment entry and to match claims. Once processed, all matched claims will have a mark and all unmatched lines will be highlighted in Red as in Image 5.
Options/Links available in the ERA Posting screen
Each posting line in this screen is colored according to the legend given in Table 2.
|PAID_CLOSE / WO_CLOSE|
|Processed directly as Secondary|
|Charge = Adjustments|
Different options/links available in the ERA Posting screen are labeled in Image 6 and described in Table 3.
|This link at the top-left part of the screen takes the user to the ERA screen. It can be used for reference.|
|Opens the Recalls & Alerts screen|
|Reverses the payment|
|To add line notes|
|To open the charge master|