ERA Processing and Payment Entry Procedure
ERA Processing:
ERAs are posted twice a week at a minimum (by EOD Wednesday and Friday).
ERA’s are held until we have confirmation of payment. EFT arrangements act as standing confirmation of payment. Without EFT in place, we wait until we have received a check, or the client has sent confirmation of a check.
The billing tech will use the Kareo PM module. Selecting Encounters- Clearinghouse Reports will show all electronic activity. Select “Electronic Remittance” to see all ERAs to be processed. This window will also provide denial information as well as the number of claims in each ERA.
Open each ERA and review the data for any problems. Select “Post Payment” to process the ERA information to each account.
Selecting the “Apply” tab will show each line to be processed and the payment information for each. Review and post all the ERA payments to the accounts.
If adjustments and corrections are needed, follow the ERA correction procedure document for appropriate corrective actions.
Cigna: ERAs will not be processed until a physical EOB and or physical payment is received. Upon receipt of the physical items, the ERA and payment information can be posted.
Patient Payments:
Patient payments are entered into the system on the day of receipt. Payments can be “received” by a variety of means:
Payments are posted at time of receipt, or when able alongside the corresponding ERA / EOB, whichever occurs first.