Remittance Profiles Library

You can set the options for ERA import profiles in the Remittance Profiles so that your system properly interprets the ERA information it receives from a payer or clearinghouse. The options are not specific to the reason codes in the Reason Code library. The Default Remittance Profile library is pre-loaded and is configured with the most common ERA settings. You will need to review the default settings and verify if they are in compliance with your primary, secondary, and tertiary payers. In addition to the Default Remittance Profile library, you can create additional libraries as needed. You can then attach the Remittance Profile library to payers.

The Remittance Profiles Library has the following tabs:

• Remittance Profile Library Default Tab

The Default tab is for setting payment options and posting rules for claim level and encounter level transactions.

• CSC Options tab

The CSC tab is for setting payment options for consolidated service claims.