EyeMed has recently updated its requirements to include original patient receipts for out-of-network claims.
To support this change, Anagram has introduced a new receipt workflow that allows providers to upload patient receipts or, for supported practice management systems, have receipts generated automatically.
The process begins with a one-time setup to identify the practice management (PM) system your office uses.
Step 1: Select Your Receipt System
When you log into Anagram, you'll be prompted to identify the system your office uses to generate patient receipts.
Log into your Anagram account.
On the Action required: Connect your receipt system screen, click the dropdown to view the available systems.
Scroll through the list and select the system your office uses for patient receipts.
Click Continue to complete the setup.
Don't see your PM system? Select Other or In-House System and enter your own PM system.
Don't use a PM system? Select Other or In-House System and type 'No POS'
Don't use ANAGRAM for EyeMed? Indicating the PM System will still be beneficial in case other insurers starting requiring original receipts as well.
Step 2: What Happens After Selecting Your PM System?
The next steps depend on whether Anagram currently supports automated receipt creation for your selected practice management (PM) system.
If Your PM System Is Supported
If you select a supported PM system, Anagram will automatically generate receipts in the appropriate format.
Your pending EyeMed claims will be automatically submitted within 20 days.
You won't need to manually upload receipts for claims that use the supported automated receipt option.
If Your PM System Is Not Yet Supported
If you select a PM system that Anagram doesn't currently support for automated receipt creation:
You'll need to manually upload patient receipts when submitting claims that require them.
Anagram is actively working to add support for additional PM systems. This typically takes approximately one week, although timing may vary.
Once support is added for your PM system, your pending EyeMed claims will be automatically submitted.
In the meantime, you can continue submitting claims by uploading the required receipts directly through Anagram.
Step 3: Attach a Receipt to Your Claim
The receipt options available when filing a claim depend on whether Anagram currently supports automated receipt creation for your selected practice management system.
Option A: Supported PM Systems
If your PM system supports automated receipt creation, you'll see an available Rebuild from [PM System] option in the Receipt section of the claim.
When you select this option, Anagram can generate a receipt in your PM system's format using the claim information.
Complete the required claim information.
Navigate to the Receipt section.
Select Rebuild from [PM System].
Review the claim details and proceed with submission.
Option B: Unsupported PM Systems
If your PM system is not yet supported for automated receipt creation, the Rebuild from [PM System] option will be unavailable.
In this case, you'll need to upload a copy of the patient's original receipt.
Complete the required claim information.
Navigate to the Receipt section.
Select Upload a receipt.
Click the upload area or drag and drop your receipt file.
Confirm the receipt has been attached before proceeding.
Supported file formats:
PDF, PNG, or JPG
Maximum file size: 20 MB
PDF documents: Maximum 10 pages
Step 3: Submit Your Claim
After completing the required claim information and addressing the receipt requirement:
Review the information entered in the claim.
Confirm that all required sections are complete.
If uploading a receipt, verify that the correct file has been attached.
Click Submit.
Once your claim has been successfully submitted, you'll see a Claim submitted confirmation screen.