Billing

Where do I see payer responses?

Where Do I See Payer Responses? AdvancedCare collects Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) files from enrolled payers and makes them available in the Remittances section. Locating remittances 1. Navigate to Claims > Remittances. 2. Use the filter bar to search by payer, date range, or check/EFT number. 3. Click any row to open the full remittance detail, including line-level adjustments and reason codes. ERA vs. EOB - ERA (835 file) — Machine-readable remittance that AdvancedCare can auto-post to your claims. This is the preferred format for most payers. - EOB (paper or PDF) — Human-readable explanation. For payers that do not support ERA, you can upload a scanned EOB for manual posting. Auto-posting When ERA auto-posting is enabled (Settings > Billing > Auto-Post ERA), AdvancedCare will automatically apply payments and adjustments to the matching claims. You can review posted remittances in the Posted tab and reverse any incorrect postings. Enrolling for ERA If you are not receiving ERA files from a payer, go to Settings > Payer Enrollment and submit an ERA enrollment request. Most payers activate ERA enrollment within 3–10 business days.

Understanding your billing dashboard

Understanding Your Billing Dashboard The billing dashboard gives your team a real-time view of financial performance across all active payers and service lines. Dashboard panels Collections summary Displays total billed, total collected, and net collection rate for the selected date range. Use the date picker in the top-right corner to adjust the reporting window. Aging buckets Shows outstanding balances grouped by age: 0–30, 31–60, 61–90, and 90+ days. Clicking any bucket filters the claims list below to that aging range. Denial rate by payer A bar chart that ranks payers by denial percentage. Use this to prioritize payer outreach or identify patterns that may require coding or documentation adjustments. Recent remittances Lists the most recent ERA/EOB files received, with total payment amounts and posting status. Click any remittance to view line-level detail and post payments. Exporting data All panels support CSV export via the Export button. Scheduled reports can be configured under Settings > Reports > Scheduled Exports. Customizing your view Drag and drop dashboard panels to reorder them. Changes are saved per user profile.

How do I check claim status?

Checking Claim Status AdvancedCare provides real-time and batch claim status lookups directly from the Claims dashboard. Real-time status lookup 1. Navigate to Claims > Active Claims. 2. Use the search bar to filter by claim number, date of service range, or payer. 3. Click a claim row to open the detail panel. 4. The Status tab shows the latest response received from the payer, including any remark codes and next recommended actions. Batch status refresh To refresh status for a group of claims at once: 1. Select the claims using the checkboxes on the left. 2. Click Actions > Request Status Update. 3. Results are typically returned within a few minutes, depending on payer response times. Status codes Common status values you will see: | Status | Meaning | |---|---| | Pending | Submitted; awaiting payer acknowledgment | | Accepted | Payer accepted the claim for adjudication | | Rejected | Claim returned with errors before adjudication | | Denied | Adjudicated and not paid; denial reason attached | | Paid | Remittance received | If a claim stays in Pending for more than 48 hours, use the Resend option or contact our support team.