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Using the PLB field in 835 ERAs for reconciling negative balances

Harvard Pilgrim Health Care·Provider Newsletter
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Harvard Pilgrim Health Care has updated guidance on using the PLB (Provider-Level Balance) field in 835 ERAs to track and reconcile negative balances. The policy explains how to use the FB code to trace offsets back to original transactions and provides access to additional reporting tools through HPHConnect.

Action Required

Action needed
Immediately: Billing team should review the PLB segment on 835 ERAs when reconciling negative balances, specifically looking for FB codes that indicate forwarding balances. Access the Provider-Level Balance user guide in the EDI section of Harvard Pilgrim's provider website. For users needing the Negative Balance Report in HPHConnect, ensure staff have Back Office User role or higher and update user permissions if necessary.

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