Get EOB Files for Payment Received from Payer

The payment information would be available through the Responses and Reports API. This information would specifically be returned in the R5 file. This provides payment and denial information from the payer. This report is an explanation of the claim payment sent by the payer and can be translated into JSON.

The first step in this process would be completing the ERA enrollment through ConnectCenter for the payer you are trying to receive this information from. Enrollments are completed in ConnectCenter under Payer Tools >> Enrollment Central. A tutorial of the enrollment process is available under Help >> Customer Education. All Payers require ERA enrollment to be on file prior to sending ERA. Once the ERA enrollment is completed and approved, the ERA files would be sent to you through the Responses and Reports API in the form of an R5 file. For more information, refer to Response and Reports API.