ERA Posting - Claim Level Adjustments, V. 3.19 and Later

Claim level adjustments are adjustments that are made to the entire claim rather than to an individual charge on a claim. Often these transactions will directly affect the payment received for a claim but are not applied to individual service charge lines.

Because the adjustment is made to the claim and not an individual charge the system can only post these types of transactions when the net of all claim level adjustments equal zero.

Claim level adjustments are common when payment is being received from a secondary or tertiary payor. Surcharges are also often applied at the claim level.
Claim level adjustments will only post if the net of all transactions is zero.

Business Rules for Claim Level Adjustments

Net of all claim level adjustments must be zero
If the net of the adjustments is not zero, the transaction will pull to the Advice-Preview screen with Process set to Reject and the user will not have the option to post.