AI Claims Adjudication Workbench

ERA Details · CHK-104936

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

Carrier Plan & Code (ERA)
Medicaid NJ - MCD-NJ
Carrier Plan & Code (System)
Medicaid NJ Plan - MCD-NJ
ERA Received Date
2026-04-17
ERA Deposit Date
2026-04-18
Payer
Medicaid NJ
Check Number
CHK-104936
Check Amount
$620.00
Posted Amount
$0.00
Posted Visits
0 / 2
ERA Status
Reconcile on Hold
Debit Adjustment
$0.00
PLB
$0.00
Payment Method
EFT
Reconciliation
Pending
Visit IDClaim IDDOSPatientChargePaidIns BalPat BalStatusReadyAI RecommendationActions
V26720CLM-2672004/28/2026Elizabeth Perez$150.00$120.00$0.00$30.00Scheduled
Ready for posting
V26721CLM-2672104/28/2026Christopher Roberts$223.00$161.00$0.00$31.00Scheduled
Ready for posting