ERA

Use this window to process an ERA.

In the ERAs window, double-click on an ERA.

View ERA details, process ERAs, and finalize payment from this window. For instructions on processing ERAs, see ERA Workflow.

Payer/Payee Information

The top half of the window displays information about the payer (carrier) and payee (office/provider).

Raw Message: Opens the raw data of the electronic file sent by insurance. This is used for troubleshooting purposes.

Provider Adjustments

Provider adjustments display if any exist. Double-click a row to open a simple window that can be used to copy text.

Claims Paid

All claims in the ERA are listed under Claims Paid. Double-click a claim to manually Verify and Enter Payment . Open Dental attempts to automatically match claims to the ERA, if a match is not found, users may see the ERA Claim Select window instead when double-clicking.

Columns:

Right-click options:

Buttons

A number of actions can be taken using the buttons at the bottom.

Finalize Payment

When every claim in the ERA is marked Received, click Finalize Payment.

  1. The Edit Insurance Payment opens. Most information is auto-populated. Enter or edit details as needed.
  2. If payment is paid via a prepaid insurance card and an integrated Credit Card Payment option is enabled, the corresponding payment buttons are shown. Click a button to process the payment. When the transaction is complete, the Edit Insurance Payment window remains open and transaction details show in the Note.
  3. Click Save to open the Insurance Payment (EOB) window.
  4. Verify that the correct claims are attached and the amount is accurate.
  5. Click Save again to finalize the payment.