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Why can't I edit an ACPM EOB payment to select the carrier for "Unknown payer Id:" EOBs?

"Error" "adjudicationPaymentAmount <> does not equal total of adjudicationItemPaymentAmount <> for adjudication" occurs which is caused by a discrepancy between the "claim" level paid amount and the "line" level paid amount in the source "ERA" data file. To resolve map the "ERA" "payer ID" with the "payer ID" field in the relevant "plan code" in the "plan table" and force the practice to reprocess the "ERA" data file back into "Pending EOBs" before downloading as a new "EOB" with the "carrier" automatically selected.

  1. Launch the ERA Summary report for the problem EOB and note the payer ID listed.
  2. Launch the ERA Detail report for the problem EOB and note a patient listed.
  3. Load the chart for the patient noted in step 2, and select the relevant insurance listed in the account pane.
  4. Select Manage Table for the insurance plan field.
  5. Enter the payer ID noted in step 1 into the Payer ID field of the plan, then save your changes.
  6. Obtain a copy of the ERA data file from the clearinghouse portal.
  7. Rename the ERA file using the following format: CR835_yyyymmdd_100.TXT.
  8. Log into the clearinghouse SFTP account using WinSCP or FileZilla and the user and password noted in the ACPM ERA interface context data field.
  9. Upload the ERA file to the ClaimResponses directory.
  10. If you have access to the ACPM data server, force ACPM to download the ERA into Pending EOBs.