Electronic Remittance Advice (ERA)

 

An Electronic Remittance Advice (ERA) is the electronic version of a paper Explanation of Benefits (EOB). This article covers the ERA Dashboard and how to manage an ERA.

Benefits of ERAs:

  • ERAs are electronically received from the payer, which expedites the process over postal mail service.
  • ERAs can be automatically posted and may be applied to one or more claims with a few easy steps. This feature is quicker and more efficient than manually posting and applying a payment.
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  • From the menu bar, hover your cursor over Billing and then click Electronic Remittance Advice (ERA).
  • You are navigated to the ERA Dashboard.
 

ERA Dashboard

All ERA activity occurs on the ERA Dashboard. There are six status-related tabs and an ERA search tab.

  • Use the drop-down menu under Status to manually change the status of an ERA.
  • If all claims in the ERA belong to a previous practice management system, download the file and mark the ERA as Reconciled.
  • If the ERA needs to be marked for follow-up, change the status to Flagged.
  • All ERA statuses may be automatically marked by the system when the auto-post function is performed or manually by choosing a different ERA status message.
  • Auto-post is an automated process to post and apply an insurance payment across one or more claims.
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  • New: All new ERAs that have not been viewed or posted.
  • Viewed: ERAs that have been viewed, but still need to be worked/reconciled.
  • Reconciled: When the ERA is finalized/auto-posted, the status changes to Reconciled.
  • Flagged: An ERA that needs to be reviewed and reconciled.
  • All: All prior statuses combined.
  • Auto-Post Status: Recent auto-post statuses.
  • ERA Search: Allows for a variety of search options.
  • Use the View, Payment Type, and Processed Date filters to narrow your ERA search results. A one-month date span is selected by default.
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  • Email and SFTP Signup (optional):
    • Set up an email notification for new ERAs. Only one email address may be set up.
    • SFTP signup is intended for SFTP users who would like to set up end-to-end automation with ERA retrieval.
 
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  • Set up an email notification for the arrival of a new ERA.
 

Download/Upload ERAs

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  • Download All PDF: Download multiple ERAs into PDF format.
  • Download All 835: Download multiple ERAs into 835 ANSI format.
  • Download All 835 ZIP: Download multiple ERAs into a compressed zipped 835 ANSI format.
  • ERA File Upload: Upload ERAs from a third party into MediTouch. This is useful for auto-posting purposes.
 
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  • Select the payer and click Choose File to browse for the file on your computer.
  • Click Submit. If uploaded successfully, these will operate as a MediTouch ERA.
 

Search ERAs

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  • On the ERA Dashboard, click the ERA Search tab. You can also perform searches from the ERA File Upload page.
  • For additional search criteria, click Click for Advanced Search Options.
  • Enter your search criteria.
  • Click Search.
 

ERA Details

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  • To review a single ERA, click the ERA date.
 
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  • Download Single ERA: Options to download the ERA details in PDF or 835 ANSI format.
  • Paid Claims: List of paid claims
  • Denied & $0.00: List of unpaid claims
  • Auto-Post Status: Displays the status of auto-posted claims.
    • A check mark indicates that the auto-post succeeded.
    • A red flag indicates that the auto-post failed.
  • Flagged Claims: Displays the claims that are flagged for review.
 
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  • Auto-post actions can be performed from any tab.
  • Select the check mark of the desired claim and then select an action from the drop-down menu.
  • Click Submit.
 
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  • Click the patient's name to view the patient's ERA details (displays below).
  • For a PDF of the ERA, click the PDF icon.
 
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  • An example of a PDF of an ERA.