Carrier Plan & Code (ERA)
Premera Blue Cross - PBCOMM01
Carrier Plan & Code (System)
Premera Commercial Plan - PBCOMM01
ERA Received Date
2026-04-19
ERA Deposit Date
2026-04-20
Payer
Premera Blue Cross
Check Number
CHK-104933
Check Amount
$890.00
Posted Amount
$0.00
Posted Visits
0 / 3
ERA Status
Scheduled
Debit Adjustment
$0.00
PLB
$0.00
Payment Method
EFT
Reconciliation
Reconciled
| Visit ID | Claim ID | DOS | Patient | Charge | Paid | Ins Bal | Pat Bal | Status | Ready | AI Recommendation | Actions |
|---|---|---|---|---|---|---|---|---|---|---|---|
| V26410 | CLM-26410 | 04/28/2026 | Charlotte Allen | $150.00 | $120.00 | $0.00 | $30.00 | Scheduled | Ready for posting | ||
| V26411 | CLM-26411 | 04/28/2026 | Daniel King | $223.00 | $161.00 | $0.00 | $31.00 | Scheduled | Ready for posting | ||
| V26412 | CLM-26412 | 04/28/2026 | Amelia Wright | $296.00 | $202.00 | $0.00 | $32.00 | Scheduled | Ready for posting |