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What are Front-end and Back-end edits?

posted Jul 26, 2018, 1:11 PM by Samantha Turner   [ updated Jul 26, 2018, 1:12 PM ]
  • Front-end Edits - Edits received via Clearinghouse reports. Whether they are Exclusions received by the Clearinghouse or rejections received by the payer, under the Payer Generated tab
  • Back-end Edits - Edits received via the ERA (Electronic Remittance Advice) file. When an ERA is applied under the EOB Posting tab, within the Payment section, any Adjustment Reason Codes or Unapplied Codes associated to the claim will appear in Claim Control.