Q: Will I stop receiving paper EOBs?
A: Most payers stop sending you paper EOBs usually couple of months after they send remittance electronically
Q: Will I loose some EOBs during transition?
A: No, there is a overlap between paper and electronic ERA
Q: Can I still see the EOB somehow after I switch to electronic remittance?
A: Yes, a Acrobat PDF version is still available
Q: What do I do with line items that was not automatically posted?
A: The details of the items are visible as a report along with the reason. You can manually post them just like you would post payments from payers that donot give electronic remittance.
Q: Can I use alloFactor to submit claims to another clearinghouse?
A: No, alloFactor is tightly integrated with our clearinghouses and so you cannot submit them to independent clearinghouses.
Q: How soon will I start receiving electronic remittances?
A: It depends on the payers but typically payers tabke between 30-45 days to start sending ERA
Q: What is the enrollment process?
A: Payers need you to submit the necessary forms to approve our clearinghouses to receive remittance advice on your behalf. Through alloFactor let us know which payers you plan on submitting claims to and we will email you the completed the necessary remittance advice forms.
Q: Do I need to prepare the enrollment forms?
A: No, we prepare the enrollment forms for you.
Q: Which payers require enrollment?
A: All payers require enrollment for ERA
Q: Why do you charge for receiving remittance?
A: We need to pay the clearinghouse charges
Q: Do I pay additional to the clearinghouse?
A: No you pay nothing directly to the clearinghouse.
Q: Which clearinghouses do you use?
A: We use Zirmed, Officeally and Availity to route and receive remittance advice.
Q: Are the price breaks calculated per provider or per clinic?
A: Per clinic
Q: Is there a price break for submitting volume?
A: Yes, there is a price break. Contact us if submitting over 1000 claims/month for price breaks.
Q: Do I pay for the whole remittance or per claim?
A: You pay for each claim
Q: How many payers support remittance advice electronically?
A: alloFactor is electronically linked to over 300 payers for electronic remittance
Q: Can I verify eligibility?
A: Yes, see the electronic eligibility section for more details
Q: Can I submit claims electronically?
A: Yes, see the electronic claim submission section for more details
Q: Do I need to submit claims electronically to receive electronic remittance?
A: No, electronic claim submission and remittance advice are independent of each other
Q: What is EFT?
A: EFT stands for electronic funds transfer and is setup for the payer to deposit a check electronically direct into your bank account. It is separate from ERA which is an electronic version of paper EOB (Explanation of Benefits).
Q: Do I need to sign up for EFT if I choose ERA?
A: No, ERA and EFT are independent of each other. EFT speeds up payment process though by depositing money direct into bank account.
Q: How do I sign up for EFT?
A: Even though it is usually done through the same enrollment paperwork, alloFactor is not involved in the EFT process. It is between you and the payer. When you receive the enrollment paperwork, read through it carefully and fill out the appropriate information if you want to make use of EFT. For commercial payers, they usually have the forms on their website.
Q: What is legacy id? Why is it mandatory?
A: Legacy ids were issued by individual payers before NPI numbers were issued in 2007. You should not submit legacy ids on claims unless your payer mandates it. But payers that require enrollment still require that information to complete the enrollment process.
Q: I dont have my legacy id. What do I do?
A: You need to contact the payer directly to get the legacy information. We cannot help you with that.
Q: What is the minimum fee of $30/month?
A: We charge a minimum of $30/month if you use any of any of the electronic transactions. You could be using multiple transactions, say electronic claims and electronic remittances, and the combined number of transactions should be atleast 100 or else you will be charge $30/month (ie; 30c* 100 transactions) minimum instead.