Resolving Encounter-Related ERA Errors
The following table describes the ERA messages related to the encounter information, and not just a particular line item in the encounter. The ERA message that is associated with the encounter appears next to every line item in the encounter that is reported on the ERA Import Posting report.
| ERA Message | Resolution |
|---|---|
| Line item transaction successfully posted | Not applicable. |
| Encounter Not Found | You must manually post this ERA claim payment from the EOB. |
| Patient policy nbr does not match the reported nbr from the payer | You can compare the patient HIC policy number that is reported from the ERA file to the number entered on theInsurance Maintenancewindow. |
| Payer/Insured combination not found within this encounter | You can use the insured's policy number to determine which number the discrepancy is with. You can compare the patient HIC policy number listed at the end of the ERA message to the insured's policy number associated with the encounter. You can get the insured's policy number from theInsurancetab on the patient chart. If the insured's policy numbers match, the problem is with the payer's ERA number. You can contact Client Services to have the payer set up in your application, to receive ERA. |
| Not posted due to ineligible Policy Number | You must manually correct the policy number. |
| Multiple encounter payers are matched with the exact policy number <policy number> | You must manually edit the policy number in the encounter. |
| Line item is not posted - Post to void charge option is disabled in Remittance Profile Library. | You must enable thePost to voided chargeoption from the payer- or practice- level Remittance Profile Library. |
| Encounter payer not found. Tertiary payer does not exist in the encounter. | To post the transaction, you must add a tertiary payer in the encounter. |
| Multiple payments found for the same line item. | You must enablePost Unbundled Payment to Single Chargeoption in Remittance Profile Library. |