At DocStation, we’re in the business of helping pharmacists get PAID. We need your help to ensure that we can get your claims updated and paid in a timely manner.
If you are currently submitting medical claims through multiple software/systems, some clearinghouses may not allow for electronic remittance advices (ERAs) to be submitted to multiple locations. Without ERAs, DocStation cannot ensure accurate claims updates to your dashboard. We are happy to help coordinate this process!
Wait…What Is an ERA?
An electronic remittance advice, or ERA, is an explanation from a health plan to a provider about a claim payment. The ERAs are designed to contain Explanation of Benefits (EOB) related information like paid claims, denied claims, final status, and payment adjustments. With the help of ERA, payment posting for insurance claims has become more efficient.
How do remittances fit into the claim submission process?
A claim is submitted through DocStation
Claim goes through validation to check for errors through DocStation and the Clearinghouse (Change Healthcare) we are partnered with
Clearinghouse then forwards those claims to the respective insurers/payers
Claim is received, reviewed and processed by Payer
Once it's finalized with all the data (what insurance pays/patient pays/unpaid amounts, etc) it is sent back to the clearinghouse in the form of an ERA.
The status of your claim on DocStation is updated once an ERA is received.
How do I make sure DocStation is receiving my ERAs?
Please be sure to submit an ERA request using this form. Our team will receive this request and start the EDI enrollment process for you. This process is dependent on payer. They may require additional forms to sign; in which case a member of our enrollment team will reach out directly.
Schedule a 1:1 ERA and/or Payer Portal call with your Pharmacy Success Manager
If you need further assistance in requesting or setting up an ERA for an individual payer please use this calendar link to schedule a call.