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Electronic EOR

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.

Post: Paper EOR

Some claims administrators refuse to accept electronic bills, or fail to remit electronic Explanations of Review (EORs) for electronically submitted bills.

Post: Bulk Payment

Claims administrators commonly remit a single check that reimburses multiple bills -- a Bulk Payment. Posting a Bulk Payment differs slightly from posting a check that reimburses a single bill.

Post: $0 Reimbursement or Denial

Always post denials and $0 payment Explanation of Reviews (EORs).

Edit Posted Payment

Need to edit details of a posted payment? No problem!  Use the Edit feature on the Bill Page.

Void Posted Payment

To correct an erroneously posted payment, click the Void icon on the Bill Page. 

Apply Write Off Reasons

When marking a bill as Done, Write Off Reasons maintains billing integrity by standardizing the write-off reasons used by billing staff.

Upload / View / Delete Paper EOR

Paper explanations of review (EORs) received from claims administrators contain important information regarding bill adjudication. Maintain a precise record of reimbursement by uploading paper EORs to all bills.

Unmatched Posted Payments

Unmatched Posted Payments occur when a claims administrator remits an electronic explanation of review (EOR) that does not match the Service Line Item(s) or Units submitted on the Bill.

Report / Edit / Delete Discount Contract

When provider contracts result in discounts below the Official Medical Fee Schedule (OMFS) use Discount Contract track and report on them.

Mark Bill as Lien - Lien Filed

Use DaisyBill’s Lien feature to distinguish outstanding lien bills from bills pending response.

Open

Need to re-open a bill that was written off? No problem.

Service Line Item Posting v. Bill Posting

Posted a bill but it doesn’t quite look right?  Electronic EOR look funny?  We can help!

Payer Claim Control Number

When submitting an SBR, the original Explanation of Review (EOR) is not a required document, because the Payer Claim Control Number allows the claims administrator to reference the EOR sent for the original bill.