Blue Review

Medical offices are gaining the paperless advantage …

Sign up today to receive the Electronic Remittance Advice (ERA) and Electronic Payment Summary (EPS) and help keep your office ahead of the game with increased efficiency, accuracy and security of your account reconciliation processes. Even though you may not be submitting your claims electronically at this time, you are still eligible to enroll in ERA and EPS.

The ERA is a HIPAA-compliant electronic file that explains claim payment and remittance information. You or your designated billing service or clearinghouse will receive the ERA the day after claim finalization. The information can then be automatically posted to your patient accounting system; check with your software vendor, billing service or clearinghouse to confirm the appropriate ERA-compatible software is in place.

Once you enroll, you will receive your ERA file based on your payment cycle. The enrollment process establishes an electronic mailbox where Availity® will place ERAs received from all payers, such as Blue Cross and Blue Shield of Texas. Your ERA will be delivered to an electronic mailbox on Availity’s Web portal. You or your billing agent will use an assigned ERA receiver ID to retrieve your ERA, along with your EPS.

The EPS is an electronic print image of the provider claim summary (PCS). It provides the same payment information as a paper PCS. It is received in your office the same day your ERA is delivered, the day after claim finalization. You can archive the information electronically for quick retrieval, rather than maintaining paper files.

The downloadable ERA enrollment form is available in the Electronic Commerce section of our Web site at www.bcbstx.com/provider. Just fax or mail your completed ERA form to Availity, as indicated on the form. Once you enroll for ERA, you are automatically enrolled for EPS.

Not yet enrolled for Electronic Funds Transfer (EFT)? Eliminate the risk of lost or stolen checks. Sign up for EFT and have your claims payments transferred electronically to the financial institution and account of your choice.

For more information, visit the Electronic Commerce section of our Provider Web site for answers to frequently asked questions about EFT, ERA and EPS. You can also contact our Electronic Commerce Center at
800-746-4614 for assistance.



BCBSTX makes no endorsements, representations, or warranties about any products or services offered by
independent third-party vendors mentioned in this newsletter. The vendors are solely responsible for the products or
services offered by them. If you have any questions about the products or services mentioned in this newsletter,
contact the vendor directly.


A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association.


Blue Review • Issue 1, 2010 • www.bcbstx.com