Understanding the Electronic Remittance Advice (ERA) Part B

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Understanding the Electronic Remittance Advice
(ERA) Part B

• For X12N Version 5010 835 Receivers

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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).

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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.

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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.

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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).

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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).

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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.

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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.

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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.

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Demonstration of Medicare Remit Easy Print
(MREP), continued

• Below is a view of an imported Electronic
  Remittance Advice (ERA).

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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.

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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.

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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).

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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.