but usually there continues to be a manual matching of remittance informa-
tion to an individual account and reconciliation of charges submitted to the
amount paid.
C. Level 3 - electronic receipt, data entry, reconciliation, posting, and closing.
a. Electronic remittance advice is received and entered into a computer
electronically.
b. The remittance data is electronically posted by the patient accounting
software, simultaneously updating the patient's account.
1. Standard adjustment codes must be established to automate entries for
payments, i.e. contractual allowances and other write-offs. Manual interven-
tion is only needed if there is a disagreement or an error.
D. Level 4 - total automation of receipt, data entry, payment posting, and
adjustment processing.
a, In addition to everything included at level 3, this level links with banking in-
formation to allow reconciliation of payments received electronically througha
non-bank network, with funds received electronically.
1. Medicare logs and the secondary billing process are automated using the
ERA. An electronic explanation of benefits received from the primary health
plan is transmitted electronically with the secondary claims. Manual
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