Lost EOBS

Did you ever have a problem getting your ERA’s? When you sign up for EFTs you get ERAs or electronic EOBs. It sounds like we’re talking in a foreign language – doesn’t it?

Medicare and many other major commercial carriers want to deposit funds directly into checking or savings accounts instead of sending paper checks so they try to get everyone to sign up for EFT or electronic funds transfer. 14 days after claims are submitted to Medicare a transfer is made directly into the providers account and an ERA is sent to the provider. An ERA is an electronic remittance advice. Now in some cases the provider will be signed up for the EFT but not get an ERA. Instead he or she will get a paper EOB.

You can be signed up for EFT without ERA. If you are signed up ERA then you either have to manually download them from the insurance carrier or get them thru your clearinghouse. But sometimes you are signed up for ERA but the ERA doesn’t come. If you get them thru your clearinghouse you need to contact them to find out where the ERA is. They usually will tell you to contact the insurance carrier. When you do that, they will either verify that the ERA was sent to the clearinghouse, or will detect a problem.

If they detect a problem, they usually will rectify it and reissue the ERA. If they confirm that they sent it to the clearinghouse then the clearinghouse will need to talk directly to the insurance carrier to determine why it wasn’t received and posted to your account.

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2 Responses to “Lost EOBS”

  1. Veeresh Says:

    I have small query in regards to cash posting. If a claim is paid on an EFT# and provider has not received any payment or no payment is posted on the practice management system, what procedure should a provider follow to retract or trace the payment.
    Like in case of H/C checks providers either request for a check tracer or for a copy of cancelled check.
    Please clarify and advise me on the procedure.

    • solutionsmedicalbilling Says:

      If the claim was paid via EFT (electronic funds transfer) then there would be no check to trace or to obtain a copy of. If the insurance carrier states that the transfer was made then the provider needs to check with the bank to see if the transfer was received. If the transfer was not received, the bank should have a record of the attempt and notes as to why the transfer was denied. I would start with that.

      http://www.solutions-medical-billing.com
      http://www.medicalbillinglive.com


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