AI Claims Adjudication Workbench

ERA Details · CHK-104935

Medicare · $980.00 · 0/1 posted · 0 errors · Unreconciled

Carrier Plan & Code (ERA)
Medicare - MEDB01
Carrier Plan & Code (System)
Medicare Part B - MEDB01
ERA Received Date
2026-04-20
ERA Deposit Date
2026-04-21
Payer
Medicare
Check Number
CHK-104935
Check Amount
$980.00
Posted Amount
$0.00
Posted Visits
0 / 1
ERA Status
PLB Review
Debit Adjustment
$0.00
PLB
$120.00
Payment Method
EFT
Reconciliation
Pending
Visit IDClaim IDDOSPatientChargePaidIns BalPat BalStatusReadyAI RecommendationActions
V26700CLM-2670004/28/2026Charlotte Allen$980.00$860.00$0.00$169.00PLB Review
Route to PLB Review before posting.