Reading the ERA Import Posting Report

Help Guide for NextGen® Enterprise PM 8

Batch Posting for ERA

The following is a list of columns from the Batch Posting window in NextGen® Enterprise PM and their descriptions: Column Description Unnamed Displays an icon to indicate whether a batch is active or inactive . Transaction activity is recorded in the active batch. BBP Displays a green check mark to indicate that the batch has been flagged and will be automatically posted by the NextGen® Background Business Processor once it has been balanced. Date Displays the date when the ERA batch was created. ID Displays batch ID. The first batch of the day is assigned the ID 0001. Additional batches you create the same day are assigned sequential ID numbers (0002, 0003). The numbers restart at 0001 every day. Description Displays the batch name. You can edit the description in the Batch Maintenance window. Members Displays the number of transactions (payments and adjustments) in the Posted section of the ERA Import Posting report. Transactions that have not been posted are not included in this cou

Help Guide for NextGen® Enterprise PM 8

ERA Posting to the Post to Voided Charge

You can post an ERA transaction to the voided charge when the Post to voided charge option is selected on the Remittance Profile window and the encounter has no active charge. When the same CPT® code is rebilled for a charge, the application does not match with the voided CPT code and instead looks for the next active CPT code. Negative billed line items are not considered while posting to voided charges. The following table describes the different settings and results for posting the ERA payment to Post to voided charge. Post to voided charge (Enabled/Disabled) Ignore Claim ID Nbr matching (Enabled/Disabled) Ref*6R segment in ERA file Encounter Charge (Active/Voided) Result Disabled Enabled Present or Absent Active and Voided charge The transaction is posted to the active charge, as the Ref*6R segment may or may not be present in the ERA file, the encounter has an active charge, and the Post to voided charge option is disabled. Disabled Enabled Present or Absent Voided charge The tran

Help Guide for NextGen® Enterprise PM 8

Resolving Line Item-Related ERA Errors

The ERA messages outlined below are related to those line items listed on the encounter that the ERA payment is posting against. There are two types of line item related ERA messages: The primary error ERA message This type of message indicates the exact line item on the encounter that caused the ERA posting process for the encounter to be unsuccessful. The secondary ERA message This type of message displays for any line item following the primary error. Because the ERA posting process was stopped due to the primary error, these line items are not processed. Note: Once the line item payments post, a "Line Item successfully posted" message displays. If NextGen® Enterprise PM finds any existing payments for a payer, this message indicates that secondary payments were also found during posting. The following table outlines each of the primary error ERA messages and the associated secondary ERA messages, a description of why the primary and secondary ERA message may have occurred, and the

Help Guide for NextGen® Enterprise PM 8

Posting an Electronic Remittance

This section provides information about the process of posting an electronic remittance. When posting the ERA, the system compares the ERA payment information for each claim in the file against the encounter information in your system that the claim was originally created for. In order for the ERA payments for each claim to post successfully, the ERA payment information for a claim must match the encounter information the ERA is posting against. If there is a discrepancy between the ERA information and the encounter information, the ERA payment for that claim does not post and an error message displays on the ERA Import Posting report. In addition, if an ERA payment is posting against multiple line items in an encounter, all the line items must be error-free for the ERA payment to post successfully. The ERA process only calculates and posts adjustments for encounter primary and secondary payers. If the primary ERA pays a charge off, it is settled to the secondary and is included on the

Help Guide for NextGen® Enterprise PM 8

Resolving Internal System-Related ERA Errors

The ERA messages outlined here are related to internal system errors. These ERA messages are also considered primary and secondary. The primary error ERA message This type of ERA message indicates the exact line item in the encounter that caused the ERA posting process for the encounter to be unsuccessful. The secondary ERA message This type of message displays for any line item following the primary error. Because the ERA posting process was stopped due to the primary error, these line items are not processed. The following table outlines each of the primary error ERA messages and the associated secondary ERA messages, a description of why the primary and secondary ERA message may have occurred, and the possible resolution to the primary error message. Primary Error ERA Message Message Description How to Resolve Insurance not found for this encounter. The ERA file information for the insurance associated with this encounter does not match the insurance associated with the encounter in

Help Guide for NextGen® Enterprise PM 8

Bundled Payments

For bundled payments, the ERA Import Posting report functions as described below: If an Encounter Level Payment Distribution method is not selected in the Remittance Profile library, the ERA Import Posting report displays the following message: "Bundled payment was not posted because Encounter Level Distribution method was not enabled in the Remittance Profile". Note: The ERA Posting process cannot post bundled payments unless an Encounter Level Payment Distribution method has been selected in the Remittance Profile. If the claim is UB/837I and no claim was found for the encounter of the NU bundled payment, the ERA Import Posting report displays the following message: "Bundled payment was not posted because no claim was identified for this encounter". If the claim is UB/837I and no match was found for the NU bundled payment, the ERA Import Posting report displays the following message: "Bundled payment was not posted because no charge match was found for this revenue code". If the clai

Reading the ERA Import Posting Report

Recommendations

Batch Posting for ERA

ERA Posting to the Post to Voided Charge

Resolving Line Item-Related ERA Errors

Posting an Electronic Remittance

Resolving Internal System-Related ERA Errors

Bundled Payments

Reading the ERA Import Posting Report

Batch Posting for ERA

ERA Posting to the Post to Voided Charge

Resolving Line Item-Related ERA Errors

Posting an Electronic Remittance

Resolving Internal System-Related ERA Errors

Bundled Payments