Reconciliation Center
Match, resolve, and escalate transaction discrepancies across the claim lifecycle
Claim submitted 48+ hours ago with no 999/TA1 acknowledgement returned from Claim.MD. Claim state unknown.
ERA received with payment but cannot be matched to original claim. Possible claim ID mismatch in BCBS 835 response.
Claim.MD returned HTTP 504 timeout on routing attempt. Claim status unknown — may or may not have reached UHC. Manual verification required.
ERA payment of $4,180.00 received — variance of $1,020.00 vs billed $5,200.00. CO-45 contractual adjustment exceeds expected contracted rate.
Claim accepted by payer 6 days ago with no ERA/835 received. Payment window elapsed. No claim status update (277) in queue.
ERA shows duplicate payment received for same claim ID. Second remittance posted 5 days after original — likely a BCBS batch error. Must recoup.