ERA ID
The unique identifier used to track the ERA received from the payer.
Status
This status reflects the case’s progress within the current billing stage only (e.g. EOB Reconciliation). It applies to the task assigned to the selected assignee in this tab.
When the assignee completes the task, the case will be marked complete for this stage, but this does not mean the entire claim has been fully processed.
Assign
Assign this case to someone on the team
Assignee
The person that is currently assigned to this case
Warning Message
Cases in ERA Exception may display a Warning message, indicating that additional review or action is required. The warning message provides details about the potential issue that needs attention.
To learn more about different warnings and errors you may encounter in a claim, please read Warning and Error Messages for ERA Exception.
ERA Details
Basic Information
View key details such as payer information, patient name, member ID, date of service, payment number, and payment date.
Procedure
Review procedure-specific details, including procedure code, amount charged, allowed amount, amount paid, copay, coinsurance, deductible, and associated reason codes for this encounter.
Reason Code Description
Here you will see the description for the reason codes so you can better understand why this payment was paid the way it was paid.
Match Claim
Here the ERA has been matched or needs to be matched to an encounter. You can also view and manage the patient’s insurance details. Select the insurance name and type, and add or update secondary insurance as needed.
EOB
Displays the EOBs associated with this case.
EOB for Inactive Payer
Displays any EOBs linked to inactive payers.
Submit
Click Submit when you’re finished working on the case to close out the task.