For bills submitted electronically, DWC rules require a claims administrator to transmit electronic explanation of reviews (EORs). Upon receipt of an electronic EOR, DaisyBill immediately posts it to the indicated bill.
You’ll find electronic EORs listed in the Payments section of a bill.
In addition to transmitting electronic EORs, claims administrators also mail paper EORs to the provider. These paper EORs contain required supplemental information about the reimbursement.
Note: For electronically posted EORs, do not post the paper EOR. This will create a duplicate posting. Instead, maintain a precise record of reimbursement by uploading the paper EORs to all electronically posted bills.
Step 1. From the Bill Page, scroll down to ‘Payments’
Step 2. Identify the ‘Post Type’
View the Source to identify how a posting was created.
- Bills with an electronic posting list 835 as the Source
- Bills posted manually from a paper EOR list Paper as the Source
Step 3. To view an electronic EOR, click ’835’ under ‘Source’
Step 4. Review the electronic EOR
Electronic EORs require the use of standardized explanation codes called Claims Adjustment Reason Codes (CARCs).
Now you’re getting the hang of it!