View details for a claim associated with an ERA.

In an ERA, click EOB Claim Details.

Alternatively, double-click on an unreceived claim from the ERA and click EOB Claim Details in the Verify and Enter Payment window.

Claim Information

Claim information, including patient, subscriber, insurance payment total, etc, is listed at the top of the window.

EOB Claim Procedures

If payment amounts were adjusted (e.g., reduced), any amounts will be noted in this section along with any appliable reason and remarks. These adjustments will also be counted in the Claim AdjAmt Sum in the balancing calculation above.

Double-click a row to open a simple window used to copy message text.

EOB Procedure Breakdown

This grid displays procedures attached to the ERA.

• ProcNum: Unique number assigned to an individual procedure. This is different than the procedure code.
• ProcCode: Procedure code.
• ProcDescript: Procedure description.
• FeeBilled: Fee billed to insurance.
• InsPaid: Insurance payment for procedure.
• PatPort: Patient portion for procedure (i.e., patient responsibility).
• Deduct: Deductible.
• Writeoff: Insurance write-off.

To view additional details about procedures, double-click a row in the Procedure Breakdown grid. The Procedure Paid window shown below will open.

Double-click the Claim Adjustments, Claim Adjudication Info, or Supplemental Info grid to open a simple window that can be used to copy message text.

Print: Click to print a copy of the procedure information.

Double-click a grid to open a simple window used to copy text.

EOB Claim Adjudication Info

Any adjudication information included with the ERA will appear in this section.

Double-click a row in order to open a simple window used to copy message text.

EOB Supplemental Info

Supplemental payment information included with the ERA is listed in this section. This is also where coverage information will be listed for Preauthorizations.

Double-click a row in order to open a simple window used to copy message text.

Print: Click to print the ERA details for the selected claim.