Remittance Advice report details
Path: Transactions>General>ERAs
The body of the report displays a list of patients and the amounts received for each claim and claim detail, if any. The report columns are the following.
| Column | Description |
|---|---|
|
Patient |
Name and code of a patient. |
|
Claim ID |
ID of the claim. |
|
Billing Period |
From and through dates of the claim. |
|
Claimed |
Total claimed amount of the corresponding claim from file. This is an informational column and it is not taken into account when calculating new balance. |
|
Billed |
Total billed amount of the corresponding claim from file. This column is shown only on the Remittance Advice Error report. |
|
Balance |
Balance of the claim from the database. |
|
Payment |
Payment amount of the corresponding claim. |
|
Payment Type |
Type of a payment:
|
|
Adjustment |
Adjustment amount of the corresponding claim. |
|
New Balance |
Balance that represents all payments and adjustments applied from the file to the database. The new balance is calculated as balance from the database minus the sum of all payments and adjustments from the file (for more information, see Calculate new balance on ERA report). |
|
Errors |
Errors encountered during the ERA file processing. This column is shown only on the Remittance Advice Error report |
The section for service lines, if present, shows information about the service DCN, Revenue code, HCPCS/CPT code, service dates, claimed, payment, adjustment, and denial adjustment amounts. For denial adjustments, it also shows adjustment code, name, and amount.
The summary line displays the total number of claims, total amount claimed, total payment, and total adjustment amount.
The lower section of the report shows a legend explaining the amounts shown in the New Balance column and the types of payment:
- T – Takeback
- S – Standard
- O – Overpayment
There are four ERA reports:
- Remittance Advice Preview report
- Remittance Advice Update report
- Remittance Advice Error report
- Payer Denials report
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 - Claim level
- 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
- Calculation logic for new balance on ERA report