ERA Data tab - Claim level
Path: Transactions>General>ERAs
This section contains all claims belonging to the appropriate Remittance Reference Number and Business Unit combination.
- Information in this grid is grouped by the insurance code and company names.
- For PPS payers, insurance company is not shown.
Each claim line has the following additional information:
| Column | Description |
|---|---|
|
Apply |
Indicates whether the claim is selected for applying. This check box is disabled in the following cases:
The Apply check box is editable in case there are both claim and details levels in the same file with the same claim ID. For more information, see Applying Payments and Adjustments in Case of Levels Conflict |
|
Claim ID |
ID of the claim. |
|
Patient |
Patient's full name and code. |
|
Claimed |
Total claimed amount of the corresponding claim from the file. |
|
Payment |
Payment amount that has to be applied to the corresponding claim. |
|
Adjustment |
Adjustment amount that has to be applied to the corresponding claim. |
Associated pages
- About Electronic Remittance Advice (ERA)
- Electronic Remittance Advice (ERA) processing stages
- About Electronic Remittance Advice (ERA) processing logic
- ERA processing logic - claim level
- ERA processing logic - claim details level
- ERA Data tab
- ERA Data tab - Service lines
- ERA Data tab - Payments, adjustments, and denial adjustments
- ERA Data tab - Detail errors and warnings
- ERA File tab
- ERA fatal errors
- ERA detail errors and warnings
- About applying payments and adjustments in case of levels conflict
- Process ERA file
- ERA Troubleshooting steps
- About Remittance Advice report
- Remittance Advice report details
- Calculation logic for new balance on ERA report