Previous ERE Screen Shots

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

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No Records

Tracking page

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Send Grouped Files
Destination and Documentation Information

Attach and Upload Files

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Tracking Page

Consultative Examination (CE) Services
Review/Submit Prepared Requests

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Attach and Upload Files

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Tracking Information

Pickup Provider’s Transcription Reports
Select Provider’s Inbox

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Inbox Folder

Prepare CE Report for Provider
Preparation

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Attach and Upload Files

Tracking Information

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Send CE Report
Destination and Request Information

Attach and Upload Files

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Tracking Information (for site that does fiscal)

Request Consultative Exam (CE) Payment
Attach and Upload Invoices

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Tracking page

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

Attach and Upload Files

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Tracking Information

Send CE No Show Response
Destination and Request Information

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Complete Reason

Tracking Information

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Request Payment for CE No Show Response
Attach and Upload Invoices

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Tracking Information

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Document Exchange Services
Access Electronic Requests
Open Requests Page

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CE Request Details/Upload

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Tracking Information (Site does not do fiscal)

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Tracking Information (Site does fiscal)

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

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CE Services Performed

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Additional Services

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Payment Information Summary

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Attach and Upload Invoices

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CE Response/Payment Request Tracking Information

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Request Medical Evidence of Record Payment (eOR)
Payment Information

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Attach and Upload Invoice

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Payment Information Summary

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Response and Payment Tracking Information

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

View Provider’s Electronic Requests – Submitted Requests

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Electronic Request Details

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Prepare CE Report for Provider (eOR)

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Tracking Information

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Send Transcription Report to Doctor
Destination and File Attachment

Tracking Information

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Pickup Transcription Report
Inbox Folder

Trash Folder

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Payment Request Services
Submit Payment Request
Evidence/CE Request Information

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Attach and Upload Invoice

Payment Request Tracking Information

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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 .

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Details of Social Security's Online Security Policy

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The Privacy Act and the Freedom of Information Act

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