Missing ERAs

Missing ERAs

IdeaResearching missing ERAs is a time-consuming process. If the Payer has the 835 file available, consider Importing the 835 File. If the check is a small amount, manually post the EOB.

Missing ERAs Process

If you have a deposit in the bank, received a check in the mail, or the Payer has verified that the check/deposit has been sent, and the ERA is not in the System, before creating a Ticket:
  1. First check the System to make sure the ERA is not there.
    1. Use the Filters to search
      1. Change the Status to All.
      2. Enter the Tax ID in the ERA Tax ID field.
      3. To search by Check Amount, enter the Deposit Amount without any commas in the Amount field. (Example: 2052.19)
      4. To search by Check Number, enter the last 4 or 5 digits of the Check Number in the Check/Transaction Number field.
      5. To search by Payer, enter the Payer ID in the Payer ID field.
  2. Verify that an Enrollment has been completed for the Payer.
  3. Wait 48-72 business hours because EDI cannot research a missing ERA before that time period.
    1. EDI cannot research a missing ERA before 48 hours.
    2. EDI cannot research an ERA that is over 3 months old.
  4. After 48-72 hours, create a Ticket with the following information:
    1. Tax ID
    2. Check #
    3. Amount Paid
    4. Date Paid

 Missing Medicare ERAs 

Missing ERAs that are less than 45 days old can only be loaded for the following Medicare MAC, NGS Payers:

  • MCRCT

  • MCRIL

  • MCRMA

  • MCRME

  • MCRMN

  • MCRMA

  • MCRNH

  • MCRNY (UPSTATE)

  • MCRNYQ (NY QUEENS)

  • MCRRI

  • MCRWI

  • MCRYC (NY CITY DOWNSTATE)

  • MCRVT

To view/print missing Remittances through the NGS CONNEX portal for the last 2 years, go to https://www.ngsmedicare.com/NGS_LandingPage/.