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  1. Click the Practice tab. 
  2. In the left-hand navigation menu, expand Feature Settings.



  3. Expand the Billing tab, and then click the ERA Processing Options tab. 
  4. Select each setting you want to modify.

    SettingDescription
    Claim Matching OptionsSelect criteria to use to match claim identifiers with identifiers in DrCloudEHR. The system matches the original claim identifier by default.
    Service Line Matching OptionsYou cannot modify the current default settings.
    Denial Adjustment Reason Codes

    Specify the status codes that indicate a claim was denied, and how DrCloudEHR should process denied claims. An ERA file containing the specified codes will be marked as denied. 

    Note that you must also select the Denied Adjustment Reason option from the Denied Service Options menu to enable the denial process.

    Denied Service OptionsSpecify how to process denied servicesunder what conditions a claim should be considered as denied. Denied claims appear in the Denials Manager.
    Move To Next Responsibility OptionsSpecify how when to process move claims that should be moved to the next level of responsibility, such as to the patient's secondary insurance provider.
    Reversal Claim OptionsSpecify how to process reversed claimsthe status that indicates a reversed claim.
    Denied Claim OptionsSpecify how to process denied claimsthe status that indicates a denied claim.
    ERA Handling OptionsSpecify how to post and allocate claim paymentsprocess incoming ERA files.


  5. Click Save.

Configure Payer-specific Electronic Remittance Advice Processing Settings

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  1. Click the Practice tab. 
  2. In the left-hand navigation menu, click the Administrative tab, and then selectPractice.
  3. Click the Insurances link under Practice Settings at the top of the page.

  4. Click the ERA Settings button.



  5. Click Add
  6. Select each setting you want to apply.

    SettingDescription
    Setting NameA unique name for the custom settings.
    Processing From and To datesOptional date range during which to apply the settings.
    Claim Matching OptionsSelect criteria to use to match claim identifiers with identifiers in DrCloudEHR. The system matches the original claim identifier by default.
    Service Line Matching OptionsYou cannot modify the current default settings.
    Denial Adjustment Reason Codes

    Specify the status codes that indicate a claim was denied, and how DrCloudEHR should process denied claims. An ERA file containing the specified codes will be marked as denied. 

    Note that you must also select the Denied Adjustment Reason option from the Denied Service Options menu to enable the denial process.

    Denied Service OptionsSpecify how to process denied servicesunder what conditions a claim should be considered as denied. Denied claims appear in the Denials Manager.
    Move To Next Responsibility OptionsSpecify how when to process move claims that should be moved to the next level of responsibility, such as to the patient's secondary insurance provider.
    Reversal Claim OptionsSpecify how to process reversed claimsthe status that indicates a reversed claim.
    Denied Claim OptionsSpecify how to process denied claimsthe status that indicates a denied claim.


  7. Click Save.

Manage Insurance Contracts

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