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ERA detail errors and warnings

Path: Transactions>General>ERAs

Detail errors and warnings are associated with the selected payment, adjustment, or denial adjustment.

  • They are listed in the Detail Errors and Warnings section on the ERA Data tab and in the Errors and Warnings section of the ERA File tab.
  • If the system does not allow posting of the payments, adjustments, or denial adjustments, the claim or service line contains an error. Otherwise, the warning is displayed.

Some examples of the detail errors and warnings that affect individual claims or service lines are:

  • Error: Cannot determine Business Unit information by claim ID.
  • Error: Claim detail line exists but does not match any service record from the application based on date range, Revenue, HCPCS, or CPT codes.
  • Error: Claim is not closed. Open claims are not allowed for posting.
  • Warning: Claim amount does not match calculated total services amount in Loop 2110.
  • Warning: Insurance Code determined from the GS segment basing on the ERA ID and PROVIDER does not match Insurance Code from the Claim record.
  • Warning: Claim ID matches but the 'From Date' does not fall into the claim date range.

You can still post payments, adjustments, and denial adjustments for other claims in the ERA file that do not have detail errors or warnings.

 

 

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