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:
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