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 immediately 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, please let your account manager know or submit the information to support at firstname.lastname@example.org so your account can be updated.
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.