Duplicate line charge after ERA upload of 835 file

Day-to-Day Users
#1

After upload the 835 file in Posting, the information posted correctly for the first line of procedure. However, if the claim had two lines of charge for the same visit (example: an E&M and a procedure), the first line (E&M) applied correctly but the second line (prodedure) did not. It created a duplicate charge line with the postings and left the original line intact without applications of payments and adjustments.

This scenario, created an accounting error because the procedure was being charged twice and there was only one payment.

How can I correct this? Thank you.

#2

Hi @2017, the eob posting will create a new charge line if there are any differences in the information. For instance if the payer adds a modifier to the electronic remittance so you have to manually adjust the original line item if that’s easy enough.

#3

I check and the modifier is the same as the before it was send out. I will look into the details to see if anything else may triggered the change.