The remittance advice provides you with claim payment and rejects information. When you file a claim, you can view your remit online using the Availity Remittance Viewer. If a payment is due, you will receive payment by check or EFT. Claims are processed daily and combined into a weekly payment and remittance advice that is generated once a week based on the zip code of the provider's payment address for the claim. Capitation is paid once a month (by the 15th of the month). These dates are subject to change.
Separate remittance advices are generated for each separate payment address by the following lines of business or special groups:
- PPO/Traditional (including BlueCard)
- Federal Employee Program (FEP Basic and Standard)
- State Employees’ PPO Plan
- Health Options
- Various ASO accounts
If you file electronically, you can receive the 835 ERA upon request. Refer to the Health Care Payment/Advice section for additional information on how to start receiving the 835.