The eRM tool is designed to help simplify claim overpayment reconciliation and related processes. The eRM tool provides:
- Single sign-on through Availity® Essentials
- Electronic notifications of overpayments
- Option to deduct from future payments.
- Pay by check capability
Some benefits of eRM:
- Easy to use! There's a three-step status bar on every page in eRM. For every transaction, providers can review your selection or data before you submit the information to BCBSTX.
- Instead of receiving the paper request for claim refund letter, you can opt to receive a daily or weekly e-mail summarizing overpayment requests from BCBSTX. Once you receive an electronic notification of overpayment, you can choose to deduct from a future payment or pay by check.
- If you have any questions, inquiries can be made right through the eRM system. No need to call BCBSTX — you'll receive a response electronically.
- If there's a need to appeal or dispute a request, you can upload your documentation directly to the eRM system. If you need to fax your information, the system will generate a cover sheet with a bar code to ensure your documentation is matched with the appropriate refund.
- You may also use the system to view transactional history for each request, or generate a report related to multiple new, outstanding and/or closed refund requests that contain an NPI related to the provider organization.
The eRM tool also includes the Claim Inquiry Resolution function, which enables providers to submit inquiries related to High-Dollar, Pre-Pay Review requests for most Host (BlueCard® out-of-area) claims (Medical Records and/or Itemized Bills) handled by BCBSTX.
Prior to accessing eRM:
- Register with Availity
- For Availity registration information, visit Availity or call Availity Client Services at 1-800-282-4548
After registering:
- Log into Availity
- Select Payer Spaces from the navigation menu and choose BCBSTX
- Select the Applications tab, then choose Refund Management - eRM*
*New users will be prompted to complete the one-time eRM onboarding form and email verification to gain access to the eRM system.
If you are unable to access eRM from our branded Payer Spaces, contact your Availity Administrator. To identify your Availity Administrator(s), select My Account under the My Account Dashboard on the Availity homepage.
Need Help?
For navigational assistance, refer to the Electronic Refund Management User Guide.
This information does not apply to Medicare Advantage or Texas Medicaid claims.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX.
BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.