Carrier Plan & Code (ERA)
Premera Blue Cross - PBCOMM01
Carrier Plan & Code (System)
Premera Commercial Plan - PBCOMM01
ERA Received Date
2026-04-28
ERA Deposit Date
2026-04-29
Payer
Premera Blue Cross
Check Number
CHK-104928
Check Amount
$2,000.00
Posted Amount
$0.00
Posted Visits
0 / 10
ERA Status
Pending
Debit Adjustment
$0.00
PLB
$0.00
Payment Method
EFT
Reconciliation
Pending
| Visit ID | Claim ID | DOS | Patient | Charge | Paid | Ins Bal | Pat Bal | Status | Ready | AI Recommendation | Actions |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 25998 | CLM-25998 | 04/28/2026 | Emily Johnson | $369.00 | $200.00 | $0.00 | $169.00 | Scheduled | Ready for posting | ||
| 25999 | CLM-25999 | 04/28/2026 | William Anderson | $240.00 | $180.00 | $0.00 | $60.00 | Scheduled | Ready for posting | ||
| 26000 | CLM-26000 | 04/28/2026 | Sophia Clark | $510.00 | $410.00 | $0.00 | $100.00 | Scheduled | Ready for posting | ||
| 26002 | CLM-26002 | 04/28/2026 | Benjamin Lewis | $199.00 | $159.00 | $0.00 | $40.00 | Scheduled | Ready for posting | ||
| 26003 | CLM-26003 | 04/28/2026 | Ava Robinson | $870.00 | $720.00 | $0.00 | $150.00 | Scheduled | Ready for posting | ||
| 26004 | CLM-26004 | 04/28/2026 | Henry Walker | $320.00 | $256.00 | $0.00 | $64.00 | Scheduled | Ready for posting | ||
| 26005 | CLM-26005 | 04/28/2026 | Mia Young | $450.00 | $360.00 | $0.00 | $90.00 | Scheduled | Ready for posting | ||
| 26006 | CLM-26006 | 04/28/2026 | Samuel Hall | $612.00 | $489.00 | $0.00 | $123.00 | Scheduled | Ready for posting | ||
| 25996 | CLM-25996 | 04/28/2026 | Olivia Martinez | $369.00 | $200.00 | ($369.00) | $4.00 | Error | Apply CO45 contractual adjustment and PR2 Bill Next allocation, then schedule for posting. Confidence 91% | ||
| 26001 | CLM-26001 | 04/28/2026 | James Wilson | $500.00 | $0.00 | $500.00 | $0.00 | Error | Apply bulk denial handling for CO197 across all procedure lines (Documentation Required). Confidence 88% |