Electronic Remittance Advices (ERAs) provide detailed information about the payments made by the payer for submitted claims. This includes explanations of which services were paid, denied, adjusted, or require further action. In the RXNT system, ERAs are essential for accurately allocating payments to the correct claims, reconciling accounts, identifying underpayments or overpayments, and streamlining the billing workflow.
View ERA details
To begin viewing an ERA, click on Pending ERAs.
Click on the Check Number in the Check / EFT Trace Number column.
The ERA will open in a pop-up window. Scroll down to view the details for all patients.
To view payments for specific patients only, click the Checkbox next to the desired patient’s name.
Download the 835 file
You can download ERAs in the 835 format to efficiently transfer payment information between systems. To do this, click Download 835 to save the 835 file to your device. Once downloaded, open the file to view the ERA details in the standardized 835 format.
Print with summary
To print the ERA summary along with the ERA details, click Print With Summary.
The ERA Claim Detail Report offers a comprehensive breakdown of payment information, including the patient's name, date of service, procedure codes, billed and allowed amounts, adjustments, write-offs, deductibles, coinsurance, and payments received. To print the report, click Print.
Glossary of codes
At the bottom of each ERA, you'll find a glossary of codes for quick reference and a better understanding of the codes.
View or print ERA summary
Click View Summary in the View Summary / Resolve column to access the ERA Payment Summary Report and any PLB Adjustment details. The ERA Payment Summary Report will open in a pop-up window.
The report displays key provider information along with a breakdown of payment and adjustment details related to the remittance. If applicable, PLB (Provider-Level Balance) Adjustment Details will appear at the bottom of the report. These adjustments are made at the provider level rather than for individual claims and may include items such as refunds, prior payment recoveries, interest payments, or withholdings. Reviewing these details helps ensure accurate reconciliation of the total payment amount received. To print the summary report, click Print.
Upload 835 files
Uploading 835 files is a simple and efficient process that allows you to import payment and remittance information directly into the system. This can be done from either the Insurance Payment tab or the ERA tab, depending on your workflow. From either location, you can select the appropriate file from your computer and upload it to automatically populate payment data, reducing manual entry and improving accuracy in claim reconciliation.
From either the Insurance Payment tab or the ERA tab, click 835 Upload to begin the file upload process.
To upload, either click Browse Files to select the file from your device or simply drag and drop the file into the designated upload area.
When uploading files, a pop-up will now display the upload status, allowing users to easily track the progress and success of each file.
After the 835 file is successfully uploaded, it will appear in the Pending ERAs tab for further processing.
Once the payment is successfully generated, click the Payment Number located in the Post Payment column to review and post the payment.
After it is successfully generated, the payment will also be moved to the Unposted Insurance Payment tab.
Click the green payment icon in the Payment/ERA column to review and post the payment.
Missing ERAs
If you're expecting an ERA but don't see it within the Billing product, please verify that the correct CPID has been entered in the ERA fields under Billing Utilities for the corresponding payer. If the payer has an option labeled "(OKC Only)", be sure to use the CPID listed next to the line that includes OKC Only in the payer name. Click here to learn more!
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