ERA FAQs
Archived ERAs
How do I Archive ERAs?
Where do I find Archived ERAs?
Claim Type
Why does the ERA Claim Type say it is Processed as Tertiary when the Patient only has a Primary Insurance?
- The Claim Type comes in the Electronic File from the Payer.
- Even if the Claim Type is incorrect, it does not prevent the posting of the Payment.
Credit Cards
When will the ERA be generated if the Patient pays with a Virtual Credit Card?
- The ERA 835 File will not be generated until after the Credit Card is processed.
Dates
When do the ERAs load into the System?
- As soon as the Clearinghouse, Etactics, receives the ERA files, they are sent to the PM System.
- The System processes them hourly on the half hour. (The job actually runs at the 26th minute.)
How is the Reference Batch Received Date determined for an ERA?
- By default, the Received Date is populated by the Paid Date on the ERA File.
- If you want the Received Date to be a different Date, there is a System Setting to allow the entry of a Received Date on the Reference Batch (ERARECEIVEDDATE) (Release 4.7)
ERAs/EOBs (Explanation of Benefits)
- To see and print only one Patient's EOB without seeing the rest of the Patients on the Remit:
Hold
Insurance Profile
What should I do if the Primary forwards to a Payer that is not on the Patient's Insurance Profile?
- The Remit will not post and is assigned a Status of CM.
- Map the Insurance using the Mappings button on the ERA Remits Items screen.
Medicaid
Why is Medicaid (Secondary) dropping to a Patient Balance?
- If yes, create a rule for Medicaid in ERA Management Rules with the Procedure Code attached.
- Add Rule CO45 > Post as Remitted > Balance Management.
- This will write off the amount that is dropping to a Patient Balance.
Post an ERA
Reports
What Report can I run to see my ERA Receipts?
Secondary
This most often occurs when the Primary Insurance pays $0, such as applying to the deductible.
- The Secondary pays as the Primary.
- The Remit is statused as On Hold.
Unbalanced Claims