Can claims be submitted and ERA transactions received immediately after the EDI and/or ERA agreement is submitted?
No. The payer will need time to process the paperwork within their processing systems; this is referred to as the payer turn-around-time (TAT). Time to complete can range from immediate to 6/8 weeks, depending on the payer. If claims are submitted prior to approval, they will reject.
Once the payer has completed processing the paperwork, approval will need to be received by DrChrono in order to update its processing systems for the transactions to process electronically. If the approval information is returned to the provider, the provider is responsible for conveying the
approval information to firstname.lastname@example.org.
As soon as approval for EDI is received, claims can be submitted electronically.
The payer will begin sending ERAs, instead of paper EOBs as soon as the ERA is approved.