Results 1 to 8 of 8

Medicare won't restore EOB file

  1. Default Medicare won't restore EOB file
    Exam Training Packages
    Our office really got jerked around by medicare. They had us fill out an EFT authorization agreement and they took almost four months to process it...which in that time frame they did not pay us at all. They finally sent us a checks, the first being for a couple weeks worth of services, you can imagine the EOB would be extensive. We had even MORE issues with medicare and we could not download the EOB files that would allow us to automatically post the funds. We finally fixed the problem and can now download those files BUT now medicare is saying they cannot restore files more than 20 days old, and we have to request paper EOBs. Can you imagine an EOB for a couple weeks worth of services? Posting that by hand??? This is a small office and I am the only biller, it would take me weeks or months!!

    My question is can anyone think of a way to get around this and receive an electronic EOB from them? Can we do a stop pay reissue on these checks to get a new EOB?


  2. #2
    Have you looked on your clearinghouse's website. I know with Emdeon I am able to login to there website and I can download a copy of the eob or save a file and then load it into our EMR. I have never tryed a stop and reissue with Medicare. We have had our payments EFT for a very long time now. I did have to do that with Railroad Medicare but it was because they sent the check to the wrong address.
    Herbie W Lorona Jr., CPC, CPC-H

  3. Default
    I don't completely understand what a clearinghouse is but I don't think we use one. We submit and receive everything directly to and from insurance electronically (forgive me I am a relatively new biller). We have spoken with our software technician but they were unable to locate the files.

    Also the only reason we are receiving paper checks i guess is because we are in a trial period post- EFT authorization or something. Im extremely frustrated, nearly four months of services in 12 checks that I now must post by hand!

    Is it possible for medicare to create a NEW eob so that the file would be new and receivable?

    I have been calling Medicare customer service and EDI but they keep giving me their cookie cutter answers and not really trying to help me resolve the problem

  4. #4
    A clearinghouse is where your claims get sent after you have created your file to send. They get uploaded to the clearing house and they scrub the claims for errors and then transmit them over to the insurance company. The insurance company then sends the files back to them and they are loaded into our billing software for posting. I am not sure if it is possible for Medicare to create a new eob. If you have called them and asked them to see about having it sent again as an ERA and they won't then it might not work. You might be able to call and tell them you never received that particular Remit and see if they can have it sent again but electronically.
    Herbie W Lorona Jr., CPC, CPC-H

  5. #5
    Default Medicare EOB File
    I would check with your software support people. The original 835 (EOB) file should be sent to the software (either through a clearinghouse or directly) and should be able to be tracked or restored if Medicare won't resend it.

    Hope it all works out and that you don't have to post it manually.


  6. Thumbs down
    nothing is working. this isn't fair!!

    thanks for your help guys.

  7. #7
    What software do you use?
    Herbie W Lorona Jr., CPC, CPC-H

  8. Default

Similar Threads

  1. Medicare EOB help please..
    By insight in forum Billing/Reimbursement
    Replies: 1
    Last Post: 08-01-2014, 08:08 PM
  2. Medicare payments/EOB change of address
    By magnusrune in forum Billing/Reimbursement
    Replies: 1
    Last Post: 07-20-2012, 09:20 AM
  3. New and Established just won't go away
    By tsmaldone in forum Internal Medicine
    Replies: 2
    Last Post: 10-01-2010, 12:08 PM
  4. Restore Patch with rotator cuff repair
    By lmathis in forum Orthopaedics
    Replies: 1
    Last Post: 03-14-2008, 03:49 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.