EOBs and ERAs are a tool for your practice to keep track of claims, see where they are in the processing pipeline, and breakdown what your office can expect in terms of payment from insurance companies.
In Remote Lite, EOBs and ERAs look a little different compared to what you typically see from Project Management Systems and payers. The human-readable format of both is easy to understand in Remote Lite and hold the pertinent information that you need to keep track of your claims.
What are EOBs like in Remote Lite and RPractice?
In Remote Lite, EOBs typically do not have a dollar amount listed on them. The exception is insurance companies who have a real-time connection in which the EOB immediately shows the benefits covered by the payer. Renaissance’s clearinghouse, Tesia, handles over 15 million real-time claims annually, which is more connections than any other in the nation.
Printed claims do not receive an EOB because there is no data that is returned to dental offices. EOBs are sent in Remote Lite to show that the claim is received and being processed with a batch payer—consider it a digital record of claim submission with such payers. Not every insurance company sends EOBs and ERAs and may require registration in order to receive them.
The actual cost breakdown of services covered by an insurance company is included in the ERA for your office to review. Remote Lite delivers this to you and notifies your office the day after the claim is processed.
What are ERAs like in Remote Lite and RPractice?
Once a claim is approved and processed, an ERA is sent to your office to show exactly what was covered by an insurance company. ERAs are often returned to provider offices before some even realize that they were paid by an insurance company. Without Remote Lite, this information would require time tracking down each claim on payer’s websites.
“It’s more convenient because we process claims daily,” says Cierra Colich, a Technical Support Analyst with Renaissance. “Once we have EOBs or ERAs, the office has them. We lay them out to be more user-friendly and easier to read.”
One of the most helpful resources is a summary ERA, which some insurance companies use to show all of the patient’s who were covered on a singular check. With this, your office doesn’t have to click through each patient’s claim information to see how much the insurance company paid toward each.
The electronic storage in Remote Lite makes claim processing easy to review since EOBs, ERAs, and attachments are all in one location for every patient.
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