Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA) are important components of an efficient healthcare revenue cycle. EDI enables electronic exchange of healthcare transactions, including claims, while ERA provides electronic details about claim payments, adjustments, and adjudication. Centers for Medicare & Medicaid Services
Practice Care Solutions provides EDI and ERA enrollment support to help healthcare practices organize enrollment requirements, coordinate with applicable payers and clearinghouses, track submissions, and manage follow-up activities. Our goal is to help practices establish a more organized electronic claims and remittance workflow while reducing administrative effort.
We assist healthcare practices with applicable EDI enrollment requirements for electronic claims and other supported transactions. Our support can include:
For Medicare, providers must complete the applicable EDI enrollment process before submitting electronic claims or using certain EDI transactions. Centers for Medicare & Medicaid Services
ERA provides electronic information about how submitted claims were processed, including payments and adjustments. It can also support more efficient payment posting and reconciliation when the practice’s systems are configured to receive and process ERA transactions. Centers for Medicare & Medicaid Services
Practice Care Solutions can support:
1. Review: We review the practice’s current payer, clearinghouse, and electronic transaction requirements.
2. Information Collection: We gather the provider, practice, payer, and other applicable information required for enrollment.
3. Application Preparation: We prepare the applicable EDI and ERA enrollment documentation.
4. Submission: We coordinate submission through the appropriate payer, clearinghouse, or enrollment channel.
5. Tracking & Follow-Up: We monitor enrollment status and follow up on outstanding requirements or requests for additional information.
6. Activation & Maintenance: We track applicable activation and help maintain enrollment information when changes occur.
A properly organized electronic workflow can help reduce manual processes and improve the flow of claims and payment information.
Patient Visit → Claim Creation → EDI Submission → Payer Adjudication → ERA → Payment Posting → A/R Management
Healthcare practices may experience:
Practice Care Solutions helps organize these activities into a structured, trackable workflow so your team can spend less time managing enrollment administration.
Let Practice Care Solutions help manage the administrative side of EDI and ERA enrollment so your practice can maintain a more efficient electronic billing and payment workflow.
Welcome to Practice Care Solutions
We help healthcare practices streamline revenue cycle processes, strengthen practice operations, and reduce administrative burdens so your team can spend more time focused on delivering quality patient care.