ERE Screen Shots - Current

Social Security Administration

2017

ERE Screen Shots
For OMB Clearance 0960-0753

1

Login Screen
ERE Login Screen

2

ERE Homepage
Administrator’s Homepage view

3

Account Maintenance Screens
Create an Individual End-User Account

4

5

6

Manage End-User Relationships

7

Manage End-User Relationships – Search Results

8

Create Individual End-User Account Summary

9

Search Accounts

10

Search Results

Delete Account

11

Delete Account - Account Summary

12

13

Change Your Password

Change Your Password Confirmation

14

Modify Account

15

16

Modify Account Confirmation

17

Manage Email Notification
18

Manage Email - Confirmation

19

Evidence Services
Send Individual Response
Destination and Request Information

20

Review & Add Information

21

Tracking Page

22

Submit MER Payment (non-eOR)
Destination and Request Information

23

Add Invoices

24

Tracking page

25

MER No Records (eOR)

26

MER No Records (eOR) - Tracking page

27

Send Grouped Response
Destination Information

28

Review & Add Information

29

Confirmation

30

Review/Submit Prepared Requests

31

View Prepared Request and Upload Files - eOR

32

33

Confirmation

34

View Prepared Request and Upload Files (Non-eOR)

35

Review & Add Information

36

Confirmation

37

Prepare Report for Provider Destination Information

38

Review & Add Information

39

Confirmation

40

Send CE Report
Destination and Request Information

41

Review & Add Information

42

Confirmation (no fiscal)

43

Confirmation (with fiscal)

44

Send Report(s) with Scanned Signature
Destination Information

45

Review & Add Information

46

Confirmation

47

Send CE No Show Response
Destination and Request Information

48

Complete Reason

49

Confirmation

50

Access Electronic Requests
Open Requests Page

51

CE Request Details/Upload

52

53

Tracking Information (Site does not do fiscal)

54

Tracking Information (Site does fiscal)

55

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

56

57

CE Services Performed

58

Additional Services

59

60

Payment Information Summary

61

62

Attach and Upload Invoices

63

Tracking page

64

65

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

66

View/Submit Consultative Examination (CE) Request – Prepare Report for
Provider (eOR)

67

Tracking Information

68

Communication Services
Messaging Services
Secure Messaging - Inbox

69

Compose Message

70

Search Contacts

71

Compose Message – Confirmation

72

Communication Utility
Send Message and Files

73

Confirmation

74