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Login to Healthbridge NovaHow to add a patientHow to add an appointment to the CalendarHow to do a benefit checkHow to capture an invoiceHow to manage patient accounts Part 1How to manage patient accounts Part 2How to add notes to a Patient Account Working with the Healthbridge Nova inboxHow to do a Manual RA Capture.How to Fix and Resubmit claimsHow to search for patient accountsHow to view transactions and invoices on an account How to manage captured invoices How to follow up on Invoices
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Transferring Liabilities Bulk messagesAccount AgeHealthbridge Nova ReportsHow to manage electronic remittances
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How to manage electronic remittances

 

How to manage electronic remittances

Remittances are received electronically into  Healthbridge Nova and matched automatically to the claims for most medical schemes.

  • Matched eRAs are found in the ‘Inbox’ under ”Remittances” and ‘Acknowledge eRA processed’
  • Unmatched eRAs will be found in the 'Reconciliation' section under the tab ‘Reconcile unmatched eRA item’

How to Acknowledge an eRA

  • Navigate to the ‘Inbox’.
  • Click on the ‘Remittances’ option and filter only the ‘Acknowledge eRA processed’ option. 
  • Select the eRA you would like to action and click on the ‘Acknowledge’ button to accept the reconciliation done by Healthbridge NOVA.

Reconcile unmatched eRA item

There are several reasons why eRA may not match correctly. 

Once you open the eRA, you can find the reasons and take appropriate action.

  1. The eRA will be populated on the top section with the patient’s details, amount paid, date of service, claim lines and reason codes.
  2. You are then required to search for the patient to match the payment. You can search using the membership number, the patient account number or the patient name.
  3. The ‘unallocated amount’ will be highlighted in red.
  4. Potential invoices to match the payment are generated by the system once the boxes are unticked (‘Outstanding balances only’ and ‘Filter on claim matches’)
  1. Once all potential invoices have been populated, you can manually match in 2 ways:
    • Use the ‘Fully paid’ or ‘Zero paid’ functionality this allows the system to automatically populate the amount paid based on the user's selection.  
    • OR
    • Capture the payment reflecting on the RA  in the ‘Amount Paid’ column for the correct claim line.

The ’Action’ column allows you to take action on any remaining balances for each claim line. 

  1. Once all payments have been allocated, the ‘Unallocated Amount’ will reflect a zero and you can save.
  2. If the RA could not be reconciled, select the ‘Could not reconcile’ checkbox and choose from the reasons listed.


 

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