Billing Automation is currently in Beta and not available to the general public.
 

Use the ERA Auto posting feature in the auto-post process to advance claims to the next step in the billing workflow based on the result of the posting so you do not have to do this manually. 

1. Use Secondary Claim Automation when the ERA is auto processed and the payment is posted to the primary insurance. 

   

    
    
2. Enable ERA Processing.

   

   
   
   Scenarios

   • Claim has not crossed over to secondary insurance from the primary (ERA does not contain segment NM101 = TT)
     • Secondary Insurance shows as Awaiting Submission.
     • There is no shift to client and the amount appears under Ins Amt Due.

       

        
        
   • Claim has crossed over to secondary insurance from the primary (ERA contains segment NM101=TT)
     • There is no shift to client and the amount appears under Ins Amt Due.

       

        
        
   • CARC Post as Denial (CARC for Co-45)
     • PI shows as rejected / denied