Processing an ERA
Processing Electronic EOBs (ERA 835s) includes receiving the claim and finalizing the payment.
All claims in the ERA list under Claims Paid. Right click a claim and select Go to Account to view patient's account information.
Raw Message: The electronic file sent by insurance. This is used for troubleshooting purposes. See ERA 835 Raw Message.
Provider Adjustments: Double click a row to open a simple window that can be used to copy text.
Detach Claim: Select one or more claims to detach from an EOB. Detached claims will still list on ERA, but will show a received status of N/A and will deduct the total from the payment amount.
Find Claim Matches For Detached: Click to find claim matches for any detached claim (claims with a received status of N/A).
EOB Claim Details: Highlight a claim and select to view a breakdown of the claim. See ERA 835 EOB Claim Details.
Print: Print the ERA.
EOB Claim Adjustments, EOB Procedure Breakdown and EOB Totals are read only and for reference when entering payments.
If payment is paid via a prepaid insurance card and XCharge / OpenEdge or PayConnect is enabled, use the XCharge of PayConnect button to process the payment. When the transaction is complete, the Edit Insurance Payment window will still be open and transaction details will show in the Note.
Secondary Claims: When a payment from a primary claim is finalized, Open Dental will give a message of patient's with secondary claims to send.
Supplemental Payments: Supplemental payments, claim corrections, and claim reversals can be done by processing an ERA as normal.