Claim Details

The Claim Details section provides the user with basic information about the posting:

  • PCN: The unique claim number returned on the remit.
  • Claim: The unique claim number in the iSalus system.
    • The paper icon allows you to quickly view or create claim comments. 
  • Payer: The payer on the claim that originated this payment.
  • Patient: The patient relevant to the current posting. 
    • The paper icon allows you to quickly view or create claim comments. 
    • The alert icon, if shown, allows you to see active alerts for this patient. 
  • Deposit ID: The deposit ID related to this posting. The deposit type is shown next to the ID, and the posting status is shown in parentheses. 
    • Clicking the Deposit ID will open the deposit in a new window, in case you need to review information about the deposit to make a determination on resolving claim or procedure errors. 
  • Claim Billing: Denotes whether the claim was sent Paper or Electronic.
  • Claim Level: Once posted, this will reflect the appropriate claim level based on the rules triggered in the automated posting process.
  • Claim Status: Once posted, this will reflect the appropriate claim status based on the rules triggered in the automated posting process.
    • Modifying the claim status will update the Claim Billing and Claim Level accordingly. 
  • Sub-Status: This is an optional field -- if desired, a user can select a resulting sub-status that the claim will be set to when posted.
  • Remit Status: Auto-populated if an ERA, this remit status will need to be manually selected if an EOB. This will help the rules engine know how to process the posting.

Underneath the Claim Details box, the user will typically have access to additional options for information/action:

  • View History: This will provide an option to view either the Claim or Patient history.


  • View ERA Details: Only available on ERA’s, this will show additional information that may not be displayed but was transmitted in the ANSI file.
  • Open Human Readable ERA: Only available on ERA's, this will show the ERA in a human readable format for the claim currently open.

Underneath the Claim Details table on the right, the amounts already posted from this claim will be shown in this format:

 This will include amounts applied from claim errors that have been resolved, as well as what has already been posted from the screen shown (for instance, if this deposit claim has already been posted, it will be the entire amount of the posting). The balance will reflect the current balance of the claim, taking into account any additional patient or insurance payments made against the claim. Here's an example of what this may look like for a posted deposit claim.