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Auto-posting ERAs in Legend

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Auto-posting ERAs #

Overview #

Billing teams can now automatically post payments to multiple patient accounts from Billing > Posting > ERA. The system analyzes each payment against predefined acceptable amounts and recommends the appropriate action, streamlining the posting workflow and reducing manual effort.

Prerequisites #

  • Acceptable payment amounts as ‘Min Payment Charges‘ must be defined in the fee schedule for each CPT code

  • Records without a defined threshold cannot be auto-posted until an acceptable payment is configured

How It Works #

When an ERA is received, the system evaluates each CPT code’s allowed payment against the acceptable payment defined in the fee schedule and assigns one of the following recommendations:

Recommendation  Condition 
Post  Allowed payment is equal to or greater than the acceptable payment 
Resubmit  Allowed payment is $0 for all CPT codes 
Challenge  At least one CPT code has an allowed payment greater than $0 but less than the acceptable payment 
Define Threshold  No acceptable payment is configured for a CPT code 

Posting Behavior #

  • Only records recommended as Post are selectable for auto-posting
  • Upon posting, payments are either posted to the patient’s account or billed to secondary insurance, based on the ERA received

Notes #

  • Recommendations are system-generated and based on fee schedule configuration
  • Billing teams retain full control — no records are posted without manual selection and confirmation

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