How to access and understand an Electronic Remittance Advice (ERA)

The Insurance ERA page allows you to see the information sent back via an Electronic Remittance Advice. This guide is to provide you with a better understanding of how to access the ERA log and the details returned from the insurance payer. 

From Insurance iQ, select the Insurance ERA's tab

On the Insurance ERA's tab you will see all ERA's that have been received from the clearinghouse. 

You will see 2 dropdown options:

  • The view by dropdown: Here you have two options to view the ERA’s by line item or by check. 

Click here to understand the View by Check.

Click here to understand the View by Line item.

Understanding  the ERA Detail Page

Once you select an ERA from the list, you will see the ERA open on a pop-up window.

At the top you will see the Insurance ERA ID Number

Note: This ID number is auto generated and cannot be changed

On the right, you have the ability to select the ERA Status

Learn about ERA statuses here. 

On the ERA detail page, you also have the ability to Print the ERA

When the Print Form button is selected, a new tab with a pdf view will open.

On the PDF view of the ERA, select the Printer Icon to print your ERA

In the first section of the ERA detail page you will see the following info:

Client Info: First and Last Name of the client

PCN: Processor Control Number provided by the payer

Insured Info: Name of the Insured party

Ins Number: Insurance Policy Number provided by the insurance company.

In the ERA Charges section, you have the following column:

Proc Code: Procedure Code

Date of service: The date the service was provided to the client

MODS: Modifiers

Units: Number of times a specific service or procedure was performed or provided to the client

Charges: Cost assigned to the service(s) provided

Adjustments (Code/Amount): Modifications made to the billed charges

Allowed: The amount that an insurance company agrees to pay for the service(s)
Paid: Amount Paid by the insurance company

When the charge is selected, you will be redirected to the line item of this charge on the Transaction Ledger

Note: Any of the ERA charges, can also be seen on the transaction ledger of the client. Click here to learn more about the transaction ledger

In the ERA Basic Info section, you will find info regarding the ERA.

In the Claim Basic Info section, you will find information about the submitted claim for this ERA

In the Provider Info section, you will find your practice information added in your Practice Settings

In the Payer Info section you will find the Insurance Company information

If any adjustment codes were added, you will see them listed under the Adjustment Codes Key section

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