Medicare Advantage: Electronic Payment Summary Now Available for 835 ERA Receivers

Nov. 13, 2019

This notice applies to providers submitting claims to Blue Cross and Blue Shield of Texas(BCBSTX) for Blue Cross Medicare Advantage (HMO)SM and Blue Cross Medicare Advantage (PPO)SM members.

As of Nov. 18, 2019, providers enrolled to receive Electronic Remittance Advices (835 ERA) from BCBSTX for Medicare Advantage members will begin receiving electronic provider claim summary (PCS) files, the electronic version of the remittance advice (RA), in conjunction with the ERA. The 835 ERA and PCS/RA files are delivered to your designated clearinghouse or vendor. Therefore, ERA receivers will no longer receive paper remittance advices delivered by mail.

As an additional option, provider claim summaries and/or remittance advices are available online in the Reporting On-Demand application via the Availity® Provider Portal. This application allows providers to view, download, save and/or print claim remittances for claims processed on or after April 12, 2019. For instructions on how to use this application, you'll find a Reporting On-Demand tip sheet in the Provider Tools section of our Provider website.

Not yet enrolled for ERA?
Online ERA enrollment is available to registered Availity users. If you have not yet registered, simply visit the Availity Provider Portal and sign up today, at no cost. To learn more about ERA enrollment through Availity, refer to the Availity ERA tip sheet. Providers who are not registered with Availity have the option to download and fax the ERA enrollment form located in the Forms section on our Provider website.

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 any products or services provided by third-party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.