AI Claims Adjudication Workbench

Dashboard

Operational overview of ERA intake, posting readiness, visit errors, and reconciliation status.

Date Range
Payer
Status
Total ERAs
27
Across current ERA processing queue
Ready for Posting
Ready
9
Clean, reconciled, or scheduled ERAs
Visit Errors
Action
10
Need AI recommendation or manual resolution
Pending Check Amount
$28,322
Awaiting reconciliation, correction, or posting
ERA Count by Status
Click a bar to filter ERA Window
Visit Readiness Mix
Reconciliation Count by Status
Matched vs Unmatched Amount
Action Required
ERAs and visits that need attention before posting.
PriorityTypeCheck No.Visit IDPatientPayerIssueAI RecommendationStatusAction
HighVisit Error25996Olivia MartinezPremera Blue CrossInvalid insurance balanceAIApply CO45 contractual adjustment and PR2 Bill Next allocation, then schedule for posting.Error
HighVisit Error26001James WilsonPremera Blue CrossMissing remark codeAIApply bulk denial handling for CO197 across all procedure lines (Documentation Required).Error
HighVisit ErrorV26315Harper GreenUnited HealthcareMissing remark codeAIApply CO197 documentation denial handling.Error
HighVisit ErrorV26603Charlotte AllenMedicaid NJMissing remark codeAIApply CO197 documentation denial handling.Error
HighVisit ErrorV26604Daniel KingMedicaid NJMissing remark codeAIApply CO197 documentation denial handling.Error
HighVisit ErrorV26614Amelia WrightAnthemMissing remark codeAIApply CO197 documentation denial handling.Error
HighVisit ErrorV26625Matthew ScottUnited HealthcareMissing remark codeAIApply CO197 documentation denial handling.Error
HighVisit ErrorV26626Harper GreenUnited HealthcareMissing remark codeAIApply CO197 documentation denial handling.Error
HighVisit ErrorV26700Charlotte AllenMedicareProvider-level balance adjustmentAIRoute to PLB Review before posting.Error
HighVisit ErrorV26710Daniel KingBlue Cross Blue ShieldReversal paymentAIRecoup prior payment.Error
HighInvalid ERA--HumanaMissing check numberAIRepair or reject ERAInvalid
MediumPLB Review--MedicareProvider Level Balance adjustmentAIRoute to PLB ReviewPLB Review
MediumPLB Review--Blue Cross Blue ShieldReversal requires reviewAIRoute to Reversal ReviewReversal Review
MediumReconciliation Hold--Medicaid NJReconciliation placed on holdAIReview reconciliationReconcile on Hold
MediumUnmatched Payment--Premera Blue CrossBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--Premera Blue CrossBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--HumanaBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--AnthemBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--Premera Blue CrossBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--MedicareBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--AetnaBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--CignaBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--Medicaid NJBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--HumanaBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--KaiserBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--Premera Blue CrossBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--United HealthcareBank statement deposit not matchedAIReview reconciliationUnmatched
MediumUnmatched Payment--AetnaBank statement deposit not matchedAIReview reconciliationUnmatched
LowDuplicate ERA--Premera Blue CrossDuplicate ERA detectedAIArchive duplicate ERADuplicate