In-Patient Medical Claims. ERA Retrieving Reports

In-Patient Medical Claims. ERA Retrieving Reports

A Status request must be completed prior to retrieving any IMC Reports. See Support sheet Status request.
The following claim Status will be reported on.
Claims Status
Claims with a Status ‘Complete’ will have a report available.

Complete\Ready                             – Claim is fully assessed
Complete\Reported                        – Claim has report available
Complete\Medicare rejected         – Claim is Medicare rejected
Complete\Health fund rejected     – Claim is Health fund rejected

Medicare\ Claims\000\Waiting Report
An ECLIPSE Remittance Advice Report is required for payment reconciliation to occur.
ERA can be retrieved in Impulse for In-Patient Medical Claim Web Service (IMCW) claim types: Agreement (AG), Scheme (SC).
  1. Option Retrieve ERA Payment  Advice  with Processing Report will be ticked by Default on this screen.

Click Request Reports
DO NOT Stop this process once it has started.

Patient invoices are being updated and ERA payment reconciliation is taking place.
Payment reports if available will be returned and can be viewed in Reported screen

Medicare\ Claims\000\ Reported
Completed Claims will have all details listed in the Reported view and patient account will be paid.
The paid date on this screen reflects the date the payment was picked up in Impulse.

ERA Online payment reports
Select Document On the top taskbar of this screen
  1. Online payment report
  2. Select Fee type:000
  3. Select date range
  4. Select Department, or provider or location
  5. Click print
Action File Screen
These are rejections that should be looked at and if unsure contact Medicare for a full explanation prior to Journaling these Claims [Medicare Processing 13 21 50]

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