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ERA 3 - Resolving Failed ERAs

How to identify and resolve failed Explanation of Benefits (ERAs) and why some ERAs may not appear in ChiroHD. Includes step-by-step instructions for common errors.

📝 Overview

A Failed ERA is a file ChiroHD received but couldn't fully process into EOBs. The file is not lost — in most cases, a correction allows it to be reprocessed successfully without contacting support.

Failed ERAs appear under the Failed tab in the ERAs section of the Insurance Dashboard. Click any row to expand it and see the specific error reasons.


Troubleshooting: ERA File Not Appearing in ChiroHD at All?

What to do if an ERA file that exists in your clearinghouse but doesn't appear anywhere in ChiroHD — not under Failed, not under Processed.

If the file still does not appear after completing the troubleshooting steps, contact ChiroHD Support and provide the file name, clearinghouse name, and date of the ERA file.


Common Error Types


When Reprocessing Helps vs. Doesn't

Keep in Mind: Reprocessing re-runs the ERA against your current configuration and billing data. It does not modify the ERA file itself.

If reprocessing repeatedly fails with no change in the error, stop and assess whether the fix needs to happen outside of ChiroHD before trying again.


Mark as Manually Entered

If your office has already posted the payment manually and you want to clear the ERA from the Failed queue:

  1. Click Mark as manually entered.

  2. A confirmation dialog will appear.

  3. Once confirmed, the ERA is removed from the active queue and is only visible when Show

    Manually Entered is checked.

NOTE: Use this only when the EOB has genuinely been posted manually — not to clear items without taking action on them.


When to Escalate to Support

Contact ChiroHD support when:

Please see our other resources on How to Contact ChiroHD Support for the methods and up to date contact information.


✅ Key takeaways

  • Most ERA errors in ChiroHD can be fixed with patient mapping, ledger corrections, or modifier updates.

  • Missing ERAs are often due to file extension mismatches, SFTP issues, or configuration problems.

  • Reprocess after making data corrections; do not reprocess files with missing key segments.

  • Use "Mark as Manually Entered" only after physical posting; not for unaddressed items.

  • Escalate only after all troubleshooting steps are exhausted, with all relevant details included.


📌 Conclusion

This guide provides a structured process for identifying, correcting, and escalating ERA-related errors in ChiroHD. By following these steps, you can efficiently resolve most issues, ensuring accurate ERA processing and minimal manual intervention.

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