Auto Posting ERN’s

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Auto Posting

Follow the steps to view the ERN (Electronic Remittance Notice) files that were downloaded by clicking Receivables > ERNs > ANSI > ERN Batches

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Select the new Un-Posted listings. Double click to open the file.

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It is highly recommended to first open up the View EOMB Report and get an idea of what you will be posting to each account. This will show the ERN in a way that you’re familiar with seeing on a traditional EOB. All claims associated with this payment will be listed. Be sure to check for any denials or no-pays. Once you feel familiar with the payments you’ll be posting, click the Post EOMB button to view the Auto-Post window.

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The new window will open showing a breakdown of what payments are associated with each claim. If you click on an individual entry an “EOB” with only the information for that claim will appear on the right-hand side. Utilize the slider above the image to zoom in or out. If everything matches and there are no discrepancies the patient’s name will appear in green. Any discrepancies will cause the patient’s name to appear in red.

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The Auto Post feature defaults to Queue w/Next for the Action upon posting. This is utilized for queueing to a secondary or tertiary insurance payer or sending out a patient invoice. If this does not apply to the particular claim you’re working on, you may want to select the ‘Do Nothing’ option using the drop-down arrow in the Action column.

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If your payment is clean and ready to post, select the Post Checked button at the bottom.

***Note: Apply W/O + Ded***

You need to be familiar with your company’s overall fee schedule settings as well as individual insurance settings. If your company utilizes a fee schedule that has set a standard billing amount and a separate allowed amount, the software should already accommodate for this at the time the claim was filed by creating an auto-write off payment type in the Payments tab on the transaction. If your company does not enter allowed amounts and utilizes only the standard amount for billing, use the Apply W/O + Ded button to apply the adjustments from the ERN to the transaction. Please remember to NEVER select this for any secondary or tertiary payments that you are auto-posting since those allowed amounts are most likely different from what the primary payer would have listed.

The first time you select Post Checked a window will open asking you to select the payment types you wish to post. Being familiar with your company’s posting policy is necessary to set these properly. Select the correct payment type you would like applied to each entry. For instance, under Primary Payment, you’ll want to select the Primary Payment from your payment type listing. If you have separate entries for Primary Payment ACH or Primary Payment Check, select the appropriate entry.

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Once you’ve processed all of your payments you can exit the window. The Futura recommended best practice is to go into each individual claim after it is posted to ensure the posts were applied correctly.

The individual ERN can be viewed on the transaction by opening the transaction and selecting Ctrl + E or Options > ERNs > ANSI ERN Information and double-clicking on the entry. The EOMB button at the bottom allows you to view the ERN itself. A notice at the top tells you the ERN is already posted.

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The Payments tab will show the auto posted amount along with any remaining balances on the transaction. To view details of the auto post entry select the payment entry. It is not recommended to make any changes unless absolutely necessary at this point.

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The Claim tab allows several different options for follow up. If your claim is now completed and all payments have been accounted for, you can select the Mark Completed button to notify any users that this claim is completed. It will not be removed from the pending transactions listing until the purge to history utility is complete.

If you decided to queue with next for secondary billing, the claim should already be in the queue ready to go. If the secondary allows EMC (Electronic Medical Claims) transmissions it will be sent out with your regular submissions for that clearinghouse. If your secondary claims need to be printed on a HCFA form, you can select Print Immediately and Apply to print the HCFA for mailing. (You can also process the HCFA queue if you are familiar with that process).

Congratulations! Your payments are now posted!

 

If you ever have any questions or concerns please feel free to contact support at 1-800-840-6057 and selecting option 1 or emailing Futura.Support@oandp.com.

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