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Unformatted text preview: first trying a lower, less invasive procedure. Some payers or polices require a patient to fail less invasive or more conservative treatment before more intense services are covered. If payment is due, the payer sends it to the provider along with a remittance advice (RA) or electronic remittance advice (ERA), a transaction that explains the payment decisions to the provider. In most cases, if the claim was e-mailed electronically, this transaction is also electronic; but it may sometimes be paper. An older term that now usually refers to the paper document is explanation of benefits (EOB). When the general term, RA/EOB it can mean both formats....
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- Summer '11