Many different electronic reports are sent to your office.
Electronic Claims Reports: After you submit claims using the preptags and ECS programs, you receive a series of claim status reports and summaries.
E-Bills Reports: When you send out electronic personal bills, you receive reports about errors and which bills were sent successfully.
ERA: Some insurance carriers send an Electronic Remittance Advice (ERA), which contains an explanation of benefits that may replace the traditional paper EOB.
Eligibility: Finally, PCC creates a daily Eligibility Report for scheduled patients with participating carriers and sends it to your practice.
The sections below will teach you how to read and use the information in all of these reports.
What is "EDI"? EDI stands for "Electronic Data Interchange." When you submit electronic claims or receive electronic reports, you are using EDI. PCC has a dedicated support team for EDI issues, available at 1-800-722-1082, option 1.
Do Not Ignore Your Reports! Reading your electronic reports is a vital part of the billing process. If claims with errors or rejections are not corrected and resubmitted, you may never receive reimbursement for the work your practice performs. The sections below will teach you all you need to know to manage this task.