Previous ERE Screen Shots

ERE Screen Shots - 2012.pdf

Electronic Records Express

Previous ERE Screen Shots

OMB: 0960-0753

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Social Security Administration

ERE Screen Shots
For OMB Clearance 0960-0753

2012
1|Page

Login Screen
ERE Login Screen

2|Page

ERE Homepage
Administrator’s homepage view

3|Page

Account Maintenance Screens
Create an Individual End-User Account

4|Page

Manage End-User Relationships

5|Page

Create Individual End-User Account Summary

6|Page

Evidence Submission Services
Send Response for Individual Case
Destination and Request Information

7|Page

Submit Records

Tracking Page (Site does not do fiscal)

8|Page

Tracking Page (for site that does fiscal)

Request Medical Evidence of Record Payment (non-eOR)
Destination and Request Information

9|Page

Tracking page

10 | P a g e

No Records

Tracking page

11 | P a g e

Send Grouped Files
Destination and Documentation Information

Attach and Upload Files

12 | P a g e

Tracking Page

Consultative Examination (CE) Services
Review/Submit Prepared Requests

13 | P a g e

Attach and Upload Files

14 | P a g e

Tracking Information

Pickup Provider’s Transcription Reports
Select Provider’s Inbox

15 | P a g e

Inbox Folder

Prepare CE Report for Provider
Preparation

16 | P a g e

Attach and Upload Files

Tracking Information

17 | P a g e

Send CE Report
Destination and Request Information

Attach and Upload Files

18 | P a g e

Tracking Information (for site that does fiscal)

Request Consultative Exam (CE) Payment
Attach and Upload Invoices

19 | P a g e

Tracking page

20 | P a g e

Send CE Report(s) with Scanned Signature
Destination and Documentation Information

Attach and Upload Files

21 | P a g e

Tracking Information

Send CE No Show Response
Destination and Request Information

22 | P a g e

Complete Reason

Tracking Information

23 | P a g e

Request Payment for CE No Show Response
Attach and Upload Invoices

24 | P a g e

Tracking Information

25 | P a g e

Document Exchange Services
Access Electronic Requests
Open Requests Page

26 | P a g e

CE Request Details/Upload

27 | P a g e

Tracking Information (Site does not do fiscal)

28 | P a g e

Tracking Information (Site does fiscal)

29 | P a g e

Request Consultative Exam (CE) Payment (eOR)
Payment Information

30 | P a g e

CE Services Performed

31 | P a g e

Additional Services

32 | P a g e

Payment Information Summary

33 | P a g e

Attach and Upload Invoices

34 | P a g e

CE Response/Payment Request Tracking Information

35 | P a g e

Request Medical Evidence of Record Payment (eOR)
Payment Information

36 | P a g e

Attach and Upload Invoice

37 | P a g e

Payment Information Summary

38 | P a g e

Response and Payment Tracking Information

39 | P a g e

Access Provider’s Electronic Payment Requests
View Provider’s Electronic Requests – Open Requests

View Provider’s Electronic Requests – Submitted Requests

40 | P a g e

Electronic Request Details

41 | P a g e

Prepare CE Report for Provider (eOR)

42 | P a g e

Tracking Information

43 | P a g e

Send Transcription Report to Doctor
Destination and File Attachment

Tracking Information

44 | P a g e

Pickup Transcription Report
Inbox Folder

Trash Folder

45 | P a g e

Payment Request Services
Submit Payment Request
Evidence/CE Request Information

46 | P a g e

Attach and Upload Invoice

Payment Request Tracking Information

47 | P a g e

Evidence Submission Failure Screen
If the files the provider is trying to submit do not pass our front end checks, they will be presented with a
failure message page. The title of this page has been changed from “Rejection” to “Submission Failure”.

Note: This Submission Failure screen will be presented any time a user tries to submits files that do not pass our front end
chekcs for for any function .

48 | P a g e

49 | P a g e

Details of Social Security's Online Security Policy

50 | P a g e

The Privacy Act and the Freedom of Information Act

51 | P a g e


File Typeapplication/pdf
File TitleScreen Shots
SubjectDifferent scenarios of ERE 12.3
AuthorDhaval Shah
File Modified2014-08-21
File Created2014-08-21

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