As the pharmacy industry shifts to a paperless system, we help you stay at the forefront of changing technology by offering the ability to receive claims remittance information electronically.
To further streamline the claims reconciliation process, we offer a free Electronic Funds Transfer (EFT) program.
How do I enroll in the OnePoint Patient Care ERA/EFT programs?
To enroll for Electronic Remittance Advice (ERA), you must be a contracted OnePoint Patient Care partner pharmacy with the ability to receive 835 electronic remittance data files (or have a vendor with this capability).
If you meet these requirements, simply complete and return the ERA Request Form.
To enroll for Electronic Funds Transfer (EFT), you must be a contracted OnePoint Patient Care partner pharmacy and currently receiving 835 electronic remittance data files.
If you meet these requirements, simply complete and return the EFT Request Form.
Once enrolled, when will I receive my first ERA or EFT?
Once enrollment has been completed for either ERA or EFT, it will become active on the next financial cycle. Financial cycles are processed twice monthly.
Do I have to enroll in ERA if I want to receive EFT?
Yes. In order for EFT to function properly and to take full advantage of streamlined claims payment programs, we require you to enroll in ERA before you can receive EFT.
Can I receive a paper remittance as well as the ERA?
Not at this time. You need to choose either a paper copy or the electronic remittance file. However, the electronic remittance file can be viewed and printed from a number of different software programs.
The Centers for Medicare & Medicaid Services (CMS) provides free software called Medicare Remit Easy Print (MREP) that allows professional providers and suppliers to print and view the HIPAA compliant 835. For more information regarding this software, please access the CMS website at: http://www.cms.hhs.gov/.
We strive to build excellent relationships with all of our partner pharmacies and hospices. As part of our continued effort to support proper pharmacy medication purchasing, we consistently review pricing and therapeutic alternatives to help ensure hospices make clinically effective and cost-efficient drug choices.
Your feedback is always welcome. If pricing concerns affect your pharmacy, please contact us and see how we can help.