Ere

Electronic Records Express

ERE Screen Shot Package - Revised

ERE

OMB: 0960-0753

Document [pdf]
Download: pdf | pdf
Social Security Administration

2017

ERE Screen Shots
For OMB Clearance 0960-0753

1

Login Screen
ERE Login Screen

2

See Revised Privacy Act
Statement Attached

SSA will insert the following revised Privacy Act Statement into the form as soon
as possible:
Privacy Act Statement
Collection and Use of Personal Information

Section 205 of the Social Security Act, as amended, allow us to collect this information.
Furnishing us this information is voluntary. However, failing to provide all or part of the
information may prevent us offering you access to our Business Services Online (BSO) suite of
services.
We will use the information that you provide to register you, your company, or authorized
employee(s) to use our BSO suite of services. We will verify the personally identifiable
information (e.g., name, Social Security number, and date of birth) you provide against our
records for user registration. We may also share your information for the following purposes,
called routine uses:
1. To a congressional office in response to an inquiry from that office made at the request of
the subject of a record or a third party on that person’s behalf.; and
2. To other Federal agencies and our contractors, including external data sources, to assist
us in administering our programs.
In addition, we may share this information in accordance with the Privacy Act and other Federal
laws. For example, where authorized, we may use and disclose this information in computer
matching programs, in which our records are compared with other records to establish or verify a
person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent
debts under these programs.
A list of additional routine uses is available in our Privacy Act System of Records Notices
(SORN) 60-0058, entitled Master Files of Social Security Number (SSN) Holders and SSN
Applications and 60-0373, entitled Central Repository of Electronic Authentication Data Master
File. Additional information and a full listing of all our SORNs are available on our website at
www.socialsecurity.gov/foia/bluebook.

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


File Typeapplication/pdf
AuthorCritcher, Rose
File Modified2017-05-03
File Created2017-03-28

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