{"id":399648,"date":"2022-04-19T08:59:57","date_gmt":"2022-04-19T13:59:57","guid":{"rendered":"https:\/\/www.billingparadise.com\/blog\/?p=399648"},"modified":"2026-06-01T07:39:02","modified_gmt":"2026-06-01T12:39:02","slug":"eob-to-era-conversion-automation-2","status":"publish","type":"post","link":"https:\/\/www.billingparadise.com\/blog\/eob-to-era-conversion-automation-2\/","title":{"rendered":"EOB to ERA Conversion automation"},"content":{"rendered":"<section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f\">Introduction about EOB to ERA Conversion Automation<\/h2>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">Tracking and reconciling payments is one of the bigger burdens faced by all healthcare organizations. Matter of fact that there are many payers who still follow manual paper reimbursement methods like paper checks and correspondences. Few healthcare organizations do tend to avoid enrolling with EDI because they face too many underpayment and payment recoupment and keep the process manual. However managing these payment information manually will decrease the rate of reimbursement because they might delay in cashing checks or sending requested additional information to payers. Automating this process and converting paper documents to ERa format is the best way to maintain complete accountability of all payments and adjustments for future audits if any.\u00a0<\/span><\/p>\n<\/div><\/div>[vc_empty_space height=&#8221;10px&#8221;][vc_single_image image=&#8221;445259&#8243; img_size=&#8221;full&#8221; onclick=&#8221;custom_link&#8221; link=&#8221;https:\/\/www.billingparadise.com\/revenue-cycle-management\/&#8221;]<div class=\"text-block \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">Eliminating manual payment posting by paper EOB,\u00a0 CAQH has estimated that $4.7 is saved per claim when using payment automation. Cost reduction is up to 50-75%. Paper EOBs are uploaded in the automation system and our AI technology reads manual EOB and converts it into electronic 835 data which will allow payment posting simply by using auto post. AI can process millions of EOB\u2019s regardless of payer specificity. Similar to EOB to ERA conversion, denied correspondence letters are received and the AI reads and converts the correspondence into electronic data which can be used in PMS in order to segregate the correspondence to a specific department in your organization who needs to work the denial. It uses 835 data to categorize the denial and the reporting of those denials can be sliced and diced. The report will then provide information on how the revenue recovered or lost. Reports can be exported to excel format or can be downloaded in PDF format as a graph or a pie chart.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Payment reconciliation in this automation system provides reading of multiple payment data such as ACH, ERA, EOB, VCP and Non check statements and then identifies unbalanced payments, reduced receivables, revenue leakage and bad debts. This information can be exported through excel or PDF graph format\u00a0<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_single_image image=&#8221;446213&#8243; img_size=&#8221;full&#8221;][vc_empty_space height=&#8221;20px&#8221;][vc_custom_heading text=&#8221;Delivering EOB\/EOP Electronification with Information Intelligence&#8221; font_container=&#8221;tag:h3|font_size:24px|text_align:left|color:%23ef662f&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:500%20bold%20regular%3A500%3Anormal&#8221;]<div class=\"text-block \" ><div class=\"simple-text \"><ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">EOB to 835 Conversion<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Virtually eliminate posting errors<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">According to CAQH, savings are estimated at $4.74 per claim moving from paper to electronic!\u00a0 Access EOB Conversion delivers most of this immediately!<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Reduce costs by 50%+ or as much as 75%!<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/section><section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space height=&#8221;20px&#8221;][vc_custom_heading text=&#8221;Optical Recognition Technologies&#8221; font_container=&#8221;tag:h3|font_size:24px|text_align:left|color:%23ef662f&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:500%20bold%20regular%3A500%3Anormal&#8221;]<div class=\"text-block \" ><div class=\"simple-text \"><ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">State of the art optical recognition technology<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">In house development<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Best of breed multiple OCR engines<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">State of the art Machine learning<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Semi-structured form classification<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">AWS services (SQS, S3, etc&#8230;)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Elastic search (history-based validations)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/section><section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space height=&#8221;20px&#8221;][vc_custom_heading text=&#8221;EOB Automation process&#8221; font_container=&#8221;tag:h3|font_size:24px|text_align:left|color:%23ef662f&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:500%20bold%20regular%3A500%3Anormal&#8221;]<div class=\"text-block \" ><div class=\"simple-text \"><h4><strong>Step 1:<\/strong><\/h4>\n<p><span style=\"font-weight: 400\">EOB received from Insurance Payer and sent to application.<\/span><\/p>\n<h4><strong>Step 2:<\/strong><\/h4>\n<p><span style=\"font-weight: 400\">Optical recognition technology ingests images, converts them into EDI 835 format.<\/span><\/p>\n<h4><strong>Step 3:<\/strong><\/h4>\n<p><span style=\"font-weight: 400\">Encrypted File delivered to partner or provider via FTPS.<\/span><\/p>\n<h4><strong>Step 4:<\/strong><\/h4>\n<p><span style=\"font-weight: 400\">835 auto-posts into HIS\/PMS.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space height=&#8221;20px&#8221;][vc_custom_heading text=&#8221;Conclusion&#8221; font_container=&#8221;tag:h3|font_size:24px|text_align:left|color:%23ef662f&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:500%20bold%20regular%3A500%3Anormal&#8221;]<div class=\"text-block \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">BillingParadise uses RPA to converting paper to electronic invoices which decrease the burden of segregation and <a href=\"https:\/\/www.billingparadise.com\/specialties\/orthopedic\/eob-posting.html\">paper EOBs are converted as respective electronic documents<\/a> for easy accessing. ERA and EOB difference in medical billing, has offered the insight of how beneficial is ERA above EOB in terms of administrative management. In addition to automation, we also support practices with <strong><a href=\"https:\/\/www.billingparadise.com\/prior-authorization-services\/\">prior authorization services<\/a><\/strong>, helping reduce delays and improve reimbursement efficiency. We have already provided custom made payment document conversion to large dental groups and surgical centers and are hoping for more challenging EOB conversion methods as well. Talk to our RPA experts to learn more.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 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about EOB to ERA Conversion Automation Tracking and reconciling payments is one of the bigger burdens faced by all healthcare organizations. Matter of fact that there are many payers who still follow manual paper reimbursement methods like paper checks and correspondences. Few healthcare organizations do tend to avoid enrolling with EDI because they face [...]","protected":false},"author":2,"featured_media":446212,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[744,922],"tags":[],"class_list":["post-399648","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rcm","category-rpa"],"modified_by":"Erika Regulsky","_links":{"self":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/399648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/comments?post=399648"}],"version-history":[{"count":9,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/399648\/revisions"}],"predecessor-version":[{"id":449878,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/399648\/revisions\/449878"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media\/446212"}],"wp:attachment":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media?parent=399648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/categories?post=399648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/tags?post=399648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}