For details on EDI, please see EDI Overview.
Electronic Remittance Advice (ERA)
An Electronic Remittance Advice (ERA) is the electronic version of an Explanation of Benefits (EOB). These are also known as 835 files. Just as your electronic claims (EDI) are routed through a clearinghouse, your ERAs are too. The system is simply a receiver of information (think of a mailbox). Therefore, any ERA enrollment questions or issues will have to be addressed by the sender (insurance company) or the clearinghouse (think of the post office).
Note: Not all insurance companies provide ERAs. For those that do, ERA enrollment is required.
Important: An ERA is an explanation of the funds that a payer has issued to you. The actual funds are never sent through, or handled by, the system.
Are you already using Office Ally as your clearinghouse?
If so, you will need to complete an ERA Transfer Letter. The instructions and a template can be found by going to: ERA Transfer Letter. When asked for the username of the account you would ERAs rerouted to, please indicate eiassistant.
If not, proceed below:
- Use the following link to Office Ally: ERA Enrollment Forms
- Locate the first letter of the Payer name that you want to begin receiving ERAs from and click on it. This will expand the list of payers starting with that letter.
- Locate the payer and click on the link to view the enrollment instructions.
Keep in mind that some payers will be grouped under a different name. United HealthCare handles a lot of different payers, and the enrollment form will have a page where you can check the various other payers you want ERAs from.
- Often times, Office Ally will pre-populate specific fields on the ERA enrollment forms. If so, do not change this information - they are likely required in order for your ERAs to get routed correctly.
- Pay close attention to the instructions. Some of the enrollments require you to send the enrollment to the payer while others will want you to send the enrollment to Office Ally.
- We do not need to be notified of your ERA approvals.
If I’m enrolled for EDI (electronic billing) or EFT (direct deposit) does that mean I’m enrolled for ERA?
No. Although sometimes the EDI, ERA, and EFT forms are combined, it is more common for the enrollments to be separate and unrelated. You can be enrolled for none, one, two, or all options with each insurance company. Typically one enrollment has no impact on the other, so do not assume enrolling for one enrolls you for others.
ERA Payment Posting
For more information, please see: ERA Payment Posting.