eRM Simplifies Overpayment Reconciliation

Our Electronic Refund Management (eRM) tool offers you a flexible, convenient and user-friendly alternative to the paper refund request and payment process. The eRM tool is available to all independently contracted BCBSTX providers. You must be registered with Availity® Essentials to be able to gain access to the eRM application.

Here are some of the benefits of eRM:

  • It's easy to use! There's a three-step status bar on every page in eRM. For every transaction, providers can review your selection or data before you submit the information to BCBSTX. 
  • Instead of receiving the paper request for claim refund (RFCR) letter, you can opt to receive a daily or weekly e-mail summarizing overpayment requests from BCBSTX. Once you receive an electronic notification of overpayment, you can choose to deduct from a future payment or pay by check.
  • If you have any questions, inquiries can be made right through the eRM system. No need to call BCBSTX — you'll receive a response electronically.
  • If there's a need to appeal or dispute a request, you can upload your documentation directly to the eRM system. If you need to fax your information, the system will generate a cover sheet with a bar code to ensure your documentation is matched with the appropriate refund.
  • You may also use the system to view transactional history for each request, or generate a report related to multiple new, outstanding and/or closed refund requests that contain an NPI related to the provider organization.

As a reminder, providers must be registered with Availity to gain access to the BCBSTX eRM tool. For Availity registration information, visit Availity or call 1-800-282-4548

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX.

BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.