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Understanding the Electronic Remittance Advice ERA Part B

Overview of ERA. Electronic Remittance Advice (ERA) is an electronic report containing remittance data sent from Novitas Solution, Inc. to the provider, billing service, or clearinghouse. Once the ERA file is retrieved, the ERA may be translated through software written by the vendor of your choic

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Understanding the Electronic Remittance Advice ERA Part B

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    1. Understanding the Electronic Remittance Advice (ERA) Part B For X12N Version 5010 835 Receivers 1

    2. Overview of ERA Electronic Remittance Advice (ERA) is an electronic report containing remittance data sent from Novitas Solution, Inc. to the provider, billing service, or clearinghouse. Once the ERA file is retrieved, the ERA may be translated through software written by the vendor of your choice, created in-house, or by using Medicare Remit Easy Print (MREP) (Part B software). Most software products, like MREP offer the ability to print the ERA in a format very similar to the Standard Paper Remittance (SPR). 2

    3. Overview of ERA, continued Software products may also offer the ability to use the Electronic Remittance Advice (ERA) for accurate posting to an automated accounts receivable system (check with software vendor for availability). ERA will be available on a daily basis, based on claim finalization, and is only available for 45 days in version 5010. Electronic billers will automatically be enrolled for ERA upon the completion of the Electronic Data Interchange (EDI) Enrollment form. Only one receiver can be sent the ERA per PTAN/Legacy ID. 3

    4. Benefits of Using ERA Save time by: No longer waiting for a Standard Paper Remittance (SPR) to arrive in the mail. Having Electronic Remittance Advice (ERA) available for retrieval from the Novitas Solution, Inc. telecommunications platform 45 days for 5010. Arranging to receive your ERA directly even if you use a billing service or clearinghouse. 4

    5. Benefits of Using ERA, continued Save money by: Generating less paper and lowering operating costs. Obtaining a free Medicare software product, Medicare Remit Easy Print (MREP), which offers the ability to print the Electronic Remittance Advice (ERA) in a format very similar to the hard copy Standard Paper Remittance (SPR). 5

    6. Benefits of Using ERA, continued Increase productivity by: Using software products that may also offer the ability to automate the posting of the Electronic Remittance Advice (ERA) to an accounts receivable system (check with a software vendor for availability). Having data and administrative efficiencies available in the ERA that are not available in a Standard Paper Remittance (SPR). 6

    7. Medicare Remit Easy Print The Medicare Remit Easy Print (MREP) software is available to view and print the Electronic Remittance Advice (ERA) in a format that looks similar to the Standard Paper Remittance (SPR). This software is available for free to Medicare providers and suppliers. Providers and suppliers can view and print as many or as few claims as needed. This will be especially helpful when you need to print only one claim from the ERA when forwarding the claim to a secondary payer. 7

    8. Demonstration of Medicare Remit Easy Print (MREP) Open the program by double clicking on the Easy Print icon. To view an Electronic Remittance Advice (ERA), click the import button. 8

    9. Demonstration of Medicare Remit Easy Print (MREP), continued Locate the Electronic Remittance Advice (ERA) file in the designated folder. Click the file name. Click Open. 9

    10. Demonstration of Medicare Remit Easy Print (MREP), continued Below is a view of an imported Electronic Remittance Advice (ERA). 10

    11. Demonstration of Medicare Remit Easy Print (MREP), continued To view the claim detail, click in the box in front of a patients name or click check all. Then click the Claim Detail tab to receive the following screen. 11

    12. Important Notes Electronic Remittance Advice (ERA) will be available on a daily basis, based on claim finalization, and is only available for 45 days for 5010. Electronic billers will automatically be enrolled for ERA upon the completion of the Electronic Remittance Advice (EDI) Enrollment form. The Standard Paper Remittance (SPR) is discontinued 45 days after enrolling for EDI. Providers using a clearinghouse or billing service can choose to download the ERA on their own and not receive from the clearinghouse or billing service. 12

    13. ERA Receiver Option To receive Electronic Remittance Advice (ERA) directly and not through a clearinghouse or billing service providers must complete the following steps: Verify they can retrieve the ERA using a dial up connection or Secure File Transfer Protocol (SFTP). More information on connection is available in the 5010 Companion Guide. Complete the EDI Enrollment form to request an ERA Receiver ID. Download Medicare Remit Easy Print (MREP). 13

    14. Contact Information Forms should be mailed to: Novitas Solution, Inc. EDI Services P.O. Box 890011 Camp Hill, PA 17089-0011 Forms can be faxed to: 1-877-439-5479 If you choose to fax your form, please do not mail your form. Only use one method to send your form. For more information on the completion of the forms, contact our Help Desk. 14

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