An unapplied claim is an ERA line item that Checkpoint received but does not know which client session to attach it to. This can happen for a few different reasons but is mostly because the information received does not match the system. Examples include different charge amount, incorrect name spelling, etc.
To apply a claim an unapplied claim, please follow the steps below.
-
Hover on the Billing Menu-> Billing
-
Select ERA Batch Files
-
Select the
of the appropriate ERA File
-
Select the
for the claim you'd like to apply
-
At the top of the page, select the client from the drop down you'd wish to link the payment to
-
Once the client is selected, the session will appear in the "Sessions" box
-
Make sure all information matches appropriately
-
Enter the payment in the "Pmt Applied" box
-
Click Apply
***A few things to note***
-
If the system does not populate a session, it is possible there is no session in the client's profile.
-
Unapplied claims are only listed on the ERA batch file page, the ERA report and the payment report. It will not pull on a Claims Accounting Report since it is not attached to a session.
Comments
0 comments
Please sign in to leave a comment.