AI Claims Adjudication Workbench

ERA Details · CHK-104934

Medicaid NJ · $620.00 · 0/4 posted · 2 errors · Unreconciled

Carrier Plan & Code (ERA)
Medicaid NJ - MCD-NJ
Carrier Plan & Code (System)
Medicaid NJ Plan - MCD-NJ
ERA Received Date
2026-04-23
ERA Deposit Date
2026-04-24
Payer
Medicaid NJ
Check Number
CHK-104934
Check Amount
$620.00
Posted Amount
$0.00
Posted Visits
0 / 4
ERA Status
Pending
Debit Adjustment
$0.00
PLB
$0.00
Payment Method
EFT
Reconciliation
Pending
Visit IDClaim IDDOSPatientChargePaidIns BalPat BalStatusReadyAI RecommendationActions
V26600CLM-2660004/28/2026Aurora Price$150.00$120.00$0.00$30.00Scheduled
Ready for posting
V26601CLM-2660104/28/2026Carter Bennett$223.00$161.00$0.00$31.00Scheduled
Ready for posting
V26603CLM-2660304/28/2026Charlotte Allen$420.00$0.00$420.00$0.00Error
Apply CO197 documentation denial handling.
Confidence 87%
V26604CLM-2660404/28/2026Daniel King$420.00$0.00$420.00$0.00Error
Apply CO197 documentation denial handling.
Confidence 87%