ERA Import Posting Report

Help Guide for NextGen® Enterprise PM 8

ERA Import Posting Report

When the ERA Posting process is used to post transactions, the ERA Import Posting report generates. This report displays posted and non-posted transactions. The non-posted transactions are identified by messages that indicate why the transaction did not post. It also displays the contractual allowable amount (or the difference between the paid and allowed amounts) On the ERA Import Posting report, all claims are grouped together by patient name and claim numbers are grouped under the name level. In addition, ERA files using the NSF (National Standard Format) format displays only the Ded Amt (deductible amount) column on the report for each line item. The deductible amount is only used for reporting purposes. This amount is not used for processing. The report has "drill-down" functionality that enables you to double-click on a record to access the encounter details directly from the report. For more information on the ERA Posting process and the ERA Import Posting report, refer to the E

Help Guide for NextGen® Enterprise PM 8

ERA Import Posting Report Columns

The following columns are available on the ERA Import Posting report. Column Name Description File ERA file Prac Name Practice name Chk Nbr Check number Auto Balance Batch Whether auto balance batch activity has been enabled or disabled Posted Sts Posted status Pat Name Patient name Clm Nbr Claim number Enc Nbr Encounter number Svc Date Service date CPT4 CPT4 code M1 Modifier 1 M2 Modifier 2 Clm Sts Cod Claim status code description Trx Status Transaction status Description Description Bill Amt Bill amount Pd Amt Paid amount Adj Amt Adjustment amount. Displays the adjustment amount for an encounter where the billed amount is equal to the ERA allowed amount and the reason code requiring discrepancy transaction was not applied. Discrepancy Amt Appears when the Calculate discrepancy adjustment related to Advanced SIM option is enabled in Remittance Profile library Ded Amt Deductible amount. Amount paid by the patient before the payer's payment. Disallow Amt Disallow amount Chg-All Amt Cha

Help Guide for NextGen® Enterprise PM 8

Reading the ERA Import Posting Report

After you have completed the ERA Posting process, the ERA Import Posting report generates. Overall, the report is a complete audit of the ERA 835 file and is grouped by unsuccessful and successful entries. NextGen® Enterprise PM does not, however, report provider level adjustments. The report is sorted by practice with the ERA payments that did not post successfully listed first, followed by all the ERA payments that posted successfully. An ERA message displays in the Description column of the report next to each line item as an indicator for why the ERA claim payment did or did not post against the encounter information. Each of these messages applies to ANSI file formats. The transaction level Reason Codes that are distributed to service lines display on the report, along with their descriptions. Note: The ERA Import Posting report detects and rejects an ERA transaction with a denial reason code and total transaction amount that is not $0.00. Resolving Encounter-Related ERA Errors On

Help Guide for NextGen® Enterprise PM 8

Reading the ERA Import Posting Report

After you have completed the ERA Posting process, the ERA Import Posting report generates. Overall, the report is a complete audit of the ERA 835 file and is grouped by unsuccessful and successful entries. NextGen® Enterprise PM does not, however, report provider level adjustments. The report is sorted by practice with the ERA payments that did not post successfully listed first, followed by all the ERA payments that posted successfully. An ERA message displays in the Description column of the report next to each line item as an indicator for why the ERA claim payment did or did not post against the encounter information. Each of these messages applies to ANSI file formats. The transaction level Reason Codes that are distributed to service lines display on the report, along with their descriptions. Note: The ERA Import Posting report detects and rejects an ERA transaction with a denial reason code and total transaction amount that is not $0.00. Resolving Encounter-Related ERA Errors On

Help Guide for NextGen® Enterprise PM 8

Electronic Remittance Advice

Electronic Remittance Advice (ERA) 835 files can be imported from the File > Processes > ERA Posting menu. This process compares transactions in the ERA 835 file for each claim against the charge information in NextGen® Enterprise PM. When ERA transactions match to charges, a transaction batch is automatically created, and the ERA transactions are added to the batch ledger. Transactions in the ERA file that do not match to charges, or do not post for other reasons, display on the ERA Import Posting report as “Not Posted” and are not added to the transaction batch. The ERA Posting process is designed to increase efficiency. Once the original set up for the process is complete, there is minimal effort required to set up additional payers. It is estimated to take about 15 minutes to post an electronic ERA 835 file for a 30-page Explanation of Benefits (EOB) electronically, compared to approximately two hours to post the same 30-page EOB manually. ERA Automatic Adjustments and Library Sett

Help Guide for NextGen® Enterprise PM 8

Electronic Remittance Advice

Electronic Remittance Advice (ERA) 835 files can be imported from the File > Processes > ERA Posting menu. This process compares transactions in the ERA 835 file for each claim against the charge information in NextGen® Enterprise PM. When ERA transactions match to charges, a transaction batch is automatically created, and the ERA transactions are added to the batch ledger. Transactions in the ERA file that do not match to charges, or do not post for other reasons, display on the ERA Import Posting report as “Not Posted” and are not added to the transaction batch. The ERA Posting process is designed to increase efficiency. Once the original set up for the process is complete, there is minimal effort required to set up additional payers. It is estimated to take about 15 minutes to post an electronic ERA 835 file for a 30-page Explanation of Benefits (EOB) electronically, compared to approximately two hours to post the same 30-page EOB manually. ERA Automatic Adjustments and Library Sett

ERA Import Posting Report

Recommendations

ERA Import Posting Report

ERA Import Posting Report Columns

Reading the ERA Import Posting Report

Reading the ERA Import Posting Report

Electronic Remittance Advice

Electronic Remittance Advice

ERA Import Posting Report

ERA Import Posting Report

ERA Import Posting Report Columns

Reading the ERA Import Posting Report

Reading the ERA Import Posting Report

Electronic Remittance Advice

Electronic Remittance Advice