ERA Management specific to Eye Refraction Clinics

ERA Management specific to Eye Refraction Clinics

This is ERA Management Rule is recommended for Clinics that do Eye Refractions.

  • For CARC, PR96, and Procedure Code, 92015.

LibrariesERA Management

  1. Select the Number in the Rules Column.
  • In this case, Medicare is being used.

  1. Select the Add button on the ERA Posting Rules screen.

  1. Claim Types: Select Primary and Primary Forwarded.
  2. CARC: Enter PR96
  3. Procedures: 92015
  4. Action: Post as Remitted
  5. Balance Management: Transfer Balance to Next Party
  6. Select Save [F2].


    • Related Articles

    • ERA Management Profiles, Rules, and CARC Crosswalk

      The System-delivered ERA Management Profile includes 22 Rules for ERA Payment posting. Additional ERA Profiles must be created to add new Rules based on the Insurance or Billing Group. Events override any Rules that are created. ERA Profiles Add a ...
    • ERA FAQs

      ERA FAQs Archived ERAs How do I Archive ERAs? Update an ERA's File Status Where do I find Archived ERAs? Status 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 ...
    • Charge Management Rule Examples

      Alert for Provider Credentialing There is a System delivered Charge Management Rule to display a Validation Warning for Providers who are not yet Credentialed with a Specific Insurance. Use this link for more detailed documentation: Hold Billing for ...
    • Receipt Management Report

      Receipt Management The Receipt Management Report is most commonly run by Post Date which will tie in to the Month End Reports. If run by a Received Date, the Report shows all money received for the Date Range chosen regardless of the Post Date. Use ...
    • Post/Apply an ERA

      Reference Batch Received Date 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 ...