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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.
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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.
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Learn how to post ERA Payments after fetching and processing Adjudications into OP.
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Learn about the different Match Statuses used when posting ERA payments and how to edit the default selections.
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After posting an ERA, it is important to make sure that the postings balance to the ERA payment amount. This ensures that there are no posting errors and that all adjudications received for the ERA have been reviewed and posted.
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At times, an adjudication will apply the incorrect settlement information for a claim, based on payment information received from the payer.
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Learn how to process secondary insurance payments included in ERAs.