What are ERA Postings?

Claims > Remittance Advice > ERA Files

Posting payments using ERAs or Electronic Remittance Advice is an automated process. In order to view user’s ERAs, simply click on Claims on the left side menu, expand the “Remittance Advice” section.

Once user expand the Remittance Advice menu , click on ‘Remittance’ option to open the list of checks and claims within each check.

Electronic Remittance Advice

User can also filter claims in terms of the plans.

These plans include All (shows all the ERAs coming from all insurances), Primary (shows all the ERAs coming from primary insurances), Secondary (shows all the ERAs coming from secondary insurances) as well as Tertiary (shows all the ERAs from the third insurance that a patient might have).

NOTE:
Claims can be further filtered according to the following categories: Postable, Denied, Reversals , Problematic, Assigned, and Non Postable.

By default the application lands on to “Pending” tab and ‘All’ filter is selected . This tab displays all the ERAs that are yet to be posted.

Electronic Remittance Advice

Other options available under Remittance Advice menu are:

‘Problem List’ option displays all ERAs which cannot be automatically processed by the system. This may be due to a data mismatch or simply because the amounts in the ERA are unbalanced.

Hovering the mouse over each ERA record displays the reason for the record being moved to the Problem List.

‘Provider Adjustment’ displays all the provider adjustments that are received. These can be over payments, under payments, incentives payments or deductions due to penalties but all of them apply to the provider as opposed to a specific appointment.

‘ERA Files’ option is only enabled for administrative users and displays all ERA files which have been received by the practice.

The ERAs are structured as follows:

The light blue row indicates the beginning of a check. In this row user can see the name of the payer and the check number. Hovering the mouse over this row shows the ‘Payer ID’, ‘Check amount’ and ‘Check date’.

All the rows below are the individual appointments that are being paid under this check. Each appointment row is made up of the Claim Identifier, Patient Name, Paid Amount, Current Responsible Plan, Next Responsible Plan and the Date of Service.

Clicking on the ‘Claim Identifier’ takes to a full page view of the selected appointment.

Clicking on the paid amount will bring the financial history screen for that appointment in the application – here user can review the current status of the appointment prior to posting of ERA.

Status

In order to view the procedure level details for each appointment simply click on the + button on the left of the ‘Claim Identifier’. In this expanded view, all individual procedures and the amount that were billed can be found, adjusted and paid for each. Clicking on the amount in the GRP/RC-AMT column enables the user to view specific adjustment details.

Adjustment Details

In order to post an ERA, check the box to the left of the Claim Identifier and click on ‘Post Payments’.

NOTE:
Entire Check or even multiple checks can be processed by selecting all of the ERA records and clicking on Post Payments.

Posting ERA

A window appears allowing user to choose the payment date and add a comment which appears on the payments page for each appointment.

Click on the ‘Continue’ button to post the ERA to the respective appointment. Once posted, the ERA record is moved from the “Pending” tab to the “Posted” tab.

Payment

ERAs for denials can also be posted using the same workflow. All ERAs, which are fully denied, appear under the “Denied” tab. User can select these records and click on the ‘Post Payment’ button to record these denials in their respective appointments.

User has the ability to post an ERA completely rather than selecting all records under that ERA one by one to post payment for an ERA.

In this way, the user has a shortcut to post payments of all encounters under one ERA. In order to use this feature, the user simply clicks on ‘Post ERA’ button against the desired ERA.

Posting ERA