Files > ELECTRONIC REMITTANCE ADVICE

name

ELECTRONIC REMITTANCE ADVICE

number

344.4

location

^RCY(344.4,

description

This file holds the ERA (Electronic Remittance Advice) information that is received electronically. It holds the summary for each individual EOB (Explanation of Benefits) that comprise the ERA. Individual EOB detail data is found in file 361.1 in Integrated Billing.

Fields

#	Name	Location	Type	Details	Index	Description
.01	entry(+)	0;1	NUMERIC		B	This field contains a sequential number generated at the time a record is stored in the file. It only serves to create an entry in the file and has no other special meaning.
.02	trace number	0;2	FREE TEXT			This is the bank trace number assigned to the ERA received. If the ERA was paid by paper check, this should be the check #.
.03	insurance co id(+)	0;3	FREE TEXT			This is the insurance co's electronic ID that will be recorded on each ERA received at the site. This field, along with the trace number should always be unique in this file.
.04	era date	0;4	DATE-TIME		AC	This is the date the ERA was generated by the payer.
.05	total amount paid	0;5	NUMERIC			This is the total amount of all the individual EOB records included in the ERA.
.06	payment from	0;6	FREE TEXT			This is the name of the insurance co as returned on the ERA.
.07	file date/time	0;7	DATE-TIME		AFD	This is the date/time the ERA was filed in VistA.
.08	receipt	0;8	POINTER	344	AREC	This is the receipt created to record the detail of the ERA for AR posting.
.09	eft match status	0;9	SET OF CODES	0:UNMATCHED -1:MATCHED WITH ERRORS 1:MATCHED 2:MATCHED TO PAPER CHECK 3:MATCH-0 PAYMENT 4:REMOVED FROM WORKLIST	AMATCH	This is the status that indicates whether or not the ERA has been matched to an electronic EFT record. If the total amt of the EFT payment does not equal the total amount of the ERA payment, the status will be -1 (MATCHED WITH ERRORS). If the ERA has a 0-payment and no EFT or check, the status will be 3 (MATCH-0 PAYMENT) and if matched to a paper check, the status will be 2 (MATCHED TO PAPER CHECK). If the ERA has been removed from the worklist the status will be 4 (REMOVED FROM WORKLIST).
.1	era type	0;10	SET OF CODES	0:MRA 1:ERA		This is the field that will designate whether the ERA is from an insurance company or from MEDICARE via the MRA requests.
.11	individual eob count	0;11	NUMERIC			This field contains the total # of EOB detail records included in the ERA.
.12	mail message	0;12	FREE TEXT			This is the list of message #s where the original ERA was received, separated by commas.
.13	check #	5;2	FREE TEXT			This is the # of the paper check that was received for payment of this ERA.
.14	era detail post status	0;14	SET OF CODES	0:NOT POSTED 1:POSTED 2:MANUALLY POSTED 3:POSTING NOT NEEDED 4:NOT POSTED-REMOVED 5:PARTIAL		This is a flag that indicates whether or not the receipt for the ERA has been posted. It is used to limit the choices when selecting ERAs for the ERA Worklist option.
.15	expected payment method code	0;15	FREE TEXT			This is the code that indicates the method of payemnt that can be expected as a result of this ERA.
.16	removed by	6;1	POINTER	200		This field is used to record the person who removed the ERA from the EEOB worklist.
.17	removed date	6;2	DATE-TIME		AD	This field records the date/time that the ERA was removed from the EEOB worklist.
.18	remove reason(+)	6;3	FREE TEXT			The justification for removing the ERA from the EEOB worklist.
1	era detail	1;0	MULTIPLE	344.41		This subfile contains the list of individual EOBs that were processed in this ERA from a single payer.
2	era level adjustments	2;0	MULTIPLE	344.42		This field holds the ERA level adjustments the payer has applied to the ERA. These can be additional monies or less monies, depending on the type of adjustment (i.e. Takeback would be less money, interest would be more money).
3.01	contact name	3;1	FREE TEXT			This is the name of the contact the payer has provided for questions regarding this ERA.
3.02	contact number 1	3;2	FREE TEXT			This is a phone #/telephone extension or email address for the contact.
3.03	contact type 1	3;3	SET OF CODES	EM:E-MAIL FX:FAX TE:TELEPHONE EX:TELEPHONE EXTENSION		This is the code that describes the type of contact information provided in the CONTACT NUMBER 1 field.
3.04	contact number 2	3;4	FREE TEXT			This is a phone #/telephone extension or email address for the contact.
3.05	contact type 2	3;5	SET OF CODES	EM:E-MAIL FX:FAX TE:TELEPHONE EX:TELEPHONE EXTENSION		This is the code that describes the type of contact information provided in the CONTACT NUMBER 2 field.
3.06	contact number 3	3;6	FREE TEXT			This is a phone #/telephone extension or email address for the contact.
3.07	contact type 3	3;7	SET OF CODES	EM:E-MAIL FX:FAX TE:TELEPHONE EX:TELEPHONE EXTENSION		This is the code that describes the type of contact information provided in the CONTACT NUMBER 3 field.
4.01	auto-post date	4;1	DATE-TIME			This date is set by the auto-posting process in the PRCA nightly job when a matching ERA is found for an EFT which is accepted by FMS. This only applies if the ERA has no adjustments or interest charges and no pharmacy claims.
4.02	auto-post status	4;2	SET OF CODES	0:UNPOSTED 1:PARTIAL 2:COMPLETE	E	This field indicates if all the claim lines on an ERA have been posted as 'TR' receipts to Accounts Receivable.
4.03	latest auto-decrease date	4;4	DATE-TIME			This is the date that the ERA was last processed for automatic decrease adjustments by the nightly process.
5.01	payer web site address	5;1	FREE TEXT			This is the web site for the payer. The source for this field is the contact data record (type '01') of the X12 835 received from FSC.
7.01	date/time era linked	7;1	DATE-TIME		AFL	This is date/time the ERA was linked to receipt.
7.02	era linked by	7;2	POINTER	200		This is the person who linked the ERA to the receipt.
8	other receipt numbers	8;0	MULTIPLE	344.48		An auto-posted ERA can have multiple receipt numbers. If there is more than one receipt number for an ERA the subsequent receipt numbers are stored in this sub-file.
20.01	date posted to suspense	20;1	DATE-TIME			This is the date/time this ERA was posted to suspense.
20.02	posted to suspense by	20;2	POINTER	200		This is the person who posted this ERA to suspense.
20.03	paper eob entry	20;3	BOOLEAN	0:NO 1:YES		This is a flag that indicates if the ERA was not referenced when its data was posted to A/R and FMS because the data was posted using the paper EOB instead.