-
You must match these adjudications against existing transactions so that they move to the Matched tab for review and processing as follows.
-
Interest payments received through an ERA adjudication will automatically process to a generic account setup for payments/retractions that OP cannot specifically trace to a specific patient account.
-
Payers will, at times, reverse previous adjudications for numerous reasons (e.g. plan termed, duplicate charge, etc).
-
The Force Pay Date can be used to match the posting date with the deposit date. When posting an ERA it will post with the ERA Date not the Pay Date.
-
Before posting ERA (Electronic Remittance Advice) payments, the ERA files (835) are retrieved from supported clearinghouses or those clearinghouses with which OP has vendor relations using a process called Fetch and Process.
-
The Adjudications tab of the Billing Center displays all pending claim adjudications that have been processed through ERA (835) files but have not yet been posted to patient claims.
-
Learn how to post ERA Payments after fetching and processing Adjudications into OP.
-
When a user is posting ERA's payments back in to Office Practicum, there may be instances where there is a patient responsibility due.
-
At times, an adjudication will apply the incorrect settlement information for a claim, based on payment information received from the payer.
-
Learn how to process secondary insurance payments included in ERAs.