Insurance Paid but No Payment Report in SimplePractice
By George Ruan • October 7, 2026
Last reviewed: October 7, 2026.
If a payer paid a claim but SimplePractice has no Payment Report (ERA), the payer is usually not sending electronic remittances to SimplePractice for that payer ID and Tax ID. Check that the Payment Reports enrollment is Accepted, that the payment came from the payer you enrolled with, and that no other biller or clearinghouse is receiving your ERAs. Post the payment manually from the EOB in the meantime; do not resubmit the paid claim.
Sections
Signs you are looking at an ERA problem
A paper check or paper EOB arrives in the mail.
A deposit lands in the bank with nothing to match it to.
The payer’s portal or a claim status check says “paid,” but the claim is still open in SimplePractice.
Payment and remittance travel separately. EFT enrollment decides how money reaches the bank; ERA enrollment decides where the electronic explanation goes. Having one does not mean you have the other.
Check the Payment Reports enrollment
SimplePractice’s missing Payment Report guide directs you to Settings > Client billing and insurance > Payers. Find the payer, select View Details, and confirm the Payment Reports enrollment status is Accepted. Then compare the billing NPI and Tax ID on the enrollment with the ones on the paid claim.
Its enrollment FAQs note that reports generated before the acceptance date will not arrive through SimplePractice, so a new enrollment does not backfill older payments.
What we usually find
Wrong payer ID. Many plans are administered by a third-party administrator that pays under its own payer ID. A practice can have an active ERA enrollment with the insurer on the card and still receive paper remittances from the administrator that actually paid.
ERAs already go somewhere else. ERA enrollment is tied to the Tax ID, and a payer generally sends a practice’s ERAs to one destination. If a former biller, clearinghouse, or another software account still holds the enrollment, a new request can be refused until that enrollment is moved or ended.
An enrollment filed with the wrong details. If the Payment Reports enrollment was submitted incorrectly, we ask SimplePractice support to reject or unlink that enrollment, then file it again correctly, rather than stacking a second request on top.
The payer needs proof of a recent payment. Some ERA enrollments ask for a recent remittance to verify the account. Medicare, in our experience, wanted one from within about the last 30 days, so keep the newest paper remittance handy.
Post the payment without double counting
Once you have the EOB, record the payment with SimplePractice’s Adding insurance payments guide. Search existing insurance payments first, since someone may already have posted it. If a late ERA arrives after a manual posting, check the existing entry before accepting another one. When paper remittances are already coming for a payment, an ERA for that same payment may never follow.
If the “payment” was a virtual card run as a client charge, see fixing an insurance virtual card recorded as a client payment. Bomi posts paper EOBs as they come in and works the ERA enrollment so future payments arrive electronically.
Related Guides
Frequently Asked Questions
Why am I still getting paper EOBs when my ERA enrollment is active?
Often the payment came from a different payer ID than the one you enrolled with, such as a third-party administrator. Look at who issued the check and enroll with that payer too.
Will a new ERA enrollment bring in older payments?
No. Reports generated before the enrollment was accepted will not arrive, so post those payments manually from the EOB.
Should I refile the claim to get a Payment Report?
No. Refiling a paid claim risks duplicate processing and does not fix where the ERA is sent.
Sources
Want Bomi to handle insurance billing?
Bomi helps therapy practices with benefit checks, claims, denials, balances, CAQH, attestations, and revenue management.
Talk to Bomi about billing
About Bomi
Founded by George Ruan, Dax Earl, and Andrey Goder, Bomi helps independent therapists and group practices with insurance billing, credentialing, and payer follow-up. Bomi grew out of Dax’s experience helping his mother with her therapy practice, with a clear purpose: reduce the administrative burden of insurance while keeping practice owners in control.
Meet our founders