AI Claims Adjudication Workbench

ERA Details · REV-2704

Blue Cross Blue Shield · $200.00 · 0/1 posted · 0 errors · Unreconciled

Carrier Plan & Code (ERA)
Blue Cross Blue Shield - BCBS-COMM
Carrier Plan & Code (System)
BCBS Commercial - BCBS-COMM
ERA Received Date
2026-04-19
ERA Deposit Date
2026-04-20
Payer
Blue Cross Blue Shield
Check Number
REV-2704
Check Amount
$200.00
Posted Amount
$0.00
Posted Visits
0 / 1
ERA Status
Reversal Review
Debit Adjustment
$0.00
PLB
$0.00
Payment Method
EFT
Reconciliation
Pending
Visit IDClaim IDDOSPatientChargePaidIns BalPat BalStatusReadyAI RecommendationActions
V26710CLM-2671004/28/2026Daniel King$200.00$0.00$0.00$169.00Reversal Review
Recoup prior payment.