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For bills submitted electronically, the Division of Workers’ Comp 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 Bill 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 ‘Bill Payments’
Step 2. Identify the ‘Posting Type’
View the Posting Type to identify how a posting was created.
- Bills with an electronic posting list Electronic as the Posting Type
- Bills posted manually from a paper EOR list Manual as the Posting Type
Step 3. To view an electronic EOR, click the ‘Posting Type’
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!