With the receipt of electronic Explanations of Review (e-EORs), providers realize the full benefits of workers’ comp e-billing. e-EORs furnish payment data that automatically post to the corresponding e-bills and close the payment loop.

Unfortunately, providers do not always consistently receive e-EORs, even in states where e-EORs are the legally mandated response to e-bills.

While each payer is ultimately responsible for delivering e-EORs to providers, almost all payers outsource that job to a clearinghouse, which accepts e-bills and remits e-EORs on the payers’ behalf. Verifiable 2023 data from daisyBill suggest that some payers do better than others in sending e-EORs to providers.

These data show that, overall, Data Dimensions’ clients do a significantly worse job of responding to e-bills with e-EORs.

Below, see e-EOR data for each of the three clearinghouses, Data Dimensions, Jopari, and Carisk, as well as CorVel and the federal Department of Labor (DOL).

2023 Clearinghouse e-EOR Data

e-EORs post payment details to the provider’s e-billing system, enabling faster and easier revenue management, appeals, and more.

As noted in many articles (and formal complaints to state authorities), a claims administrator that fails to remit e-EORs creates countless hours of manual work for practices.

The table below provides the percentages of e-bills where providers did not receive an e-EOR in 2023. The data reflect the three major clearinghouses used by claims administrators and the two claims administrators that do not use clearinghouse services: CorVel (a TPA) and the DOL (a public employer).

The headline is immediately apparent: Data Dimensions clients failed to send e-EORs at a significantly higher rate than clients of other clearinghouses, CorVel, and the DOL.

*e-EOR data not available

By failing to submit e-EORs for 14.5% of all bills submitted, Data Dimensions’ clients made treating injured workers more difficult, time-consuming, and costly for practices.

Contrast Data Dimensions clients’ poor performance with the far superior performance of CorVel and the DOL, who chose to invest in the necessary technology to accept e-bills and return e-EORs without a clearinghouse. Both CorVel and the DOL outperformed claims administrators who utilized clearinghouses.

The DOL should be congratulated for responding to 99.9% of e-bills with e-EORs in December 2023 — proving that e-EORs can (and should) be consistently remitted to providers.  

Why e-EORs Make It to daisyBill Providers

Rather than submitting all bills through a single clearinghouse, as many e-billing software products do, daisyBill delivers each e-bill to the specific clearinghouse designated by the claims administrator — or in the case of CorVel and the DOL, daisyBill transmits the e-bill straight to the claims administrator.

As illustrated below, the pathways for daisyBill e-bills (from provider to claims administrator) are the most direct and consistently successful pathways possible.

Subsequently, the opposite pathways for e-EORs (from claims administrator to provider) are equally direct and consistently successful.

By contrast, some providers (or their billing software) funnel every e-bill to a single clearinghouse, which often has to awkwardly reroute many of those e-bills to the correct clearinghouse. The result is lost bills, delayed payments, and missing e-EORs.

For daisyBill clients, only non-compliance by the claims administrator or the occasional technical failure by a clearinghouse can derail e-EOR delivery. For the vast majority of our e-bills, the billing cycle is closed electronically, automatically, and conveniently — thanks to the back-end network of electronic pathways in place.

Nationwide, daisyBill increases revenue and decreases hassle for providers who treat injured workers. Get a free demonstration below.

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