Author Topic: ERA  (Read 2864 times)

dfranklin

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ERA
« on: January 24, 2010, 04:12:16 AM »
I have been posting my Ins. Payments with EOB's the providers been sending me. But I have switched to a new software and have set up ERA with the clearinghouse for any insurances that have it.  What impact will this have on the provider?  Will he still get any paper EOB's or ERA notices sent to him to let him know he got an EFT deposit or something sent to him with his check? 

My provider likes to look over the EOB's so if he is not going to receive anything am I going to have to send him the ERA's? 

I spent so much time doing the payments manually that I just had to swithc to EOB's.  One provider alone is doing like 600 claims a month.  I don't have any experience with ERA's which is why I was asking these questions and wondering how that is typically handled.

Thanks!

Pay_My_Claims

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Re: ERA
« Reply #1 on: January 24, 2010, 10:43:34 AM »
The only company that I know of that sends out the EOB's if you get the ERA's is NC Medicaid.  We were mandated to go EFT because of the need to reduce paper. I have to fax a copy of the EOB to my provider when I download them.

Michele

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Re: ERA
« Reply #2 on: January 25, 2010, 09:16:43 AM »
Most carriers do ERA's to replace the paper EOB's.  When we get an ERA we have to provide a copy to our provider.

Michele
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MBP

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Re: ERA
« Reply #3 on: January 25, 2010, 11:25:02 AM »
that is a lot of extra paper and time and fax.. do you include this cost in the price for your billing services? i am trying to come up with the budget and see how much the expenses will be before i figure out how much to charge a provider.

Michele

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Re: ERA
« Reply #4 on: January 25, 2010, 01:59:03 PM »
There is more cost in the paper, etc, but you save so much time in not having to enter the payments, that for us it's more than worth it.  We don't charge any extra.

Michele
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MBP

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Re: ERA
« Reply #5 on: January 25, 2010, 02:30:47 PM »
i use office ally.. i have ERAs set up for medicare and aetna, but that only means i download the eob before the provider actually gets it in mail. i am searching in their manual but cant see anything about the option to have those payments automatically entered in the system.. that would be great if i could do that, i didnt know there is an option like that with some software. i take my comment back then, it makes perfect sense.

Pay_My_Claims

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Re: ERA
« Reply #6 on: January 25, 2010, 03:01:28 PM »
i use office ally.. i have ERAs set up for medicare and aetna, but that only means i download the eob before the provider actually gets it in mail. i am searching in their manual but cant see anything about the option to have those payments automatically entered in the system.. that would be great if i could do that, i didnt know there is an option like that with some software. i take my comment back then, it makes perfect sense.

You just upload the ERA and it will auto post. Email me if you need help

PMRNC

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Re: ERA
« Reply #7 on: January 26, 2010, 11:47:18 AM »
ERA is different than Auto Posting. What everyone said about the ERA's I agree with. I don't charge extra either as it's just an added "cost of doing business" At contract renewal I will then decide if a rate adjustment is needed.
Auto posting is in my opinion.. still an "iffy" technology. I have the ability to do auto posting however I've run across glitches and I know others have as well. I currently have chosen NOT to do it because the time to FIND the errors and fix them was more of a hassle.. basically you are trusting the software too much (IMO) maybe in time this will be a technology that gets perfected but it's far from that right now.  JMO
Linda Walker
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MBP

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Re: ERA
« Reply #8 on: January 26, 2010, 01:19:01 PM »


You just upload the ERA and it will auto post. Email me if you need help
[/quote]

Charlene, i just found your post.. i am lost, cant find it anywhere! do i need to have that medicare easy print software? i usually just open the eob as a text file, print it and manually post payments. i have gone through OA manuals and still havent found anything about automatic payment posting.. do you use it? thanks!!!

PMRNC

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Re: ERA
« Reply #9 on: January 26, 2010, 01:32:01 PM »
I know how to do it, it's just not a technology that is even close to being perfected yet. I've used it and found too many errors which takes away the time efficiency of using it. I found errors with a few different PM systems and the auto-posting features.
Linda Walker
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Pay_My_Claims

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Re: ERA
« Reply #10 on: January 26, 2010, 05:32:30 PM »
I know how to do it, it's just not a technology that is even close to being perfected yet. I've used it and found too many errors which takes away the time efficiency of using it. I found errors with a few different PM systems and the auto-posting features.

it is also not my favorite to do, it varies per payor

Pay_My_Claims

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Re: ERA
« Reply #11 on: January 26, 2010, 05:33:22 PM »


You just upload the ERA and it will auto post. Email me if you need help

Charlene, i just found your post.. i am lost, cant find it anywhere! do i need to have that medicare easy print software? i usually just open the eob as a text file, print it and manually post payments. i have gone through OA manuals and still havent found anything about automatic payment posting.. do you use it? thanks!!!
[/quote]

yes I do use it, email me and I will walk you through it

Michele

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Re: ERA
« Reply #12 on: January 26, 2010, 09:04:20 PM »
It's definitely not perfect.  We still go in on each one to check/correct.  But overall it does still cut down on a lot of keystrokes in entering payments.

Michele
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PMRNC

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Re: ERA
« Reply #13 on: January 26, 2010, 09:07:41 PM »
Yeah, it probably does, but posting pmts is sort of my favorite part and I can fly through a stack of EOB's pretty quick. I'd rather do that than have to go over and review them all.. to me it's just faster to post them <g>
Linda Walker
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