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pdfSocial Security Administration
2017
ERE Screen Shots
For OMB Clearance 0960-0753
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Login Screen
ERE Login Screen
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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
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Account Maintenance Screens
Create an Individual End-User Account
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Manage End-User Relationships
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Manage End-User Relationships – Search Results
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Create Individual End-User Account Summary
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Search Accounts
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Search Results
Delete Account
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Delete Account - Account Summary
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Change Your Password
Change Your Password Confirmation
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Modify Account
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Modify Account Confirmation
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Manage Email Notification
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Manage Email - Confirmation
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Evidence Services
Send Individual Response
Destination and Request Information
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Review & Add Information
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Tracking Page
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Submit MER Payment (non-eOR)
Destination and Request Information
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Add Invoices
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Tracking page
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MER No Records (eOR)
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MER No Records (eOR) - Tracking page
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Send Grouped Response
Destination Information
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Review & Add Information
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Confirmation
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Review/Submit Prepared Requests
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View Prepared Request and Upload Files - eOR
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Confirmation
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View Prepared Request and Upload Files (Non-eOR)
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Review & Add Information
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Confirmation
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Prepare Report for Provider Destination Information
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Review & Add Information
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Confirmation
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Send CE Report
Destination and Request Information
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Review & Add Information
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Confirmation (no fiscal)
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Confirmation (with fiscal)
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Send Report(s) with Scanned Signature
Destination Information
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Review & Add Information
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Confirmation
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Send CE No Show Response
Destination and Request Information
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Complete Reason
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Confirmation
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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)
Patient 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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Tracking page
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Access Provider’s Electronic Requests
Access Provider’s Electronic Requests – Open Requests
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View/Submit Consultative Examination (CE) Request – Prepare Report for
Provider (eOR)
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Tracking Information
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Communication Services
Messaging Services
Secure Messaging - Inbox
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Compose Message
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Search Contacts
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Compose Message – Confirmation
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Communication Utility
Send Message and Files
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Confirmation
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File Type | application/pdf |
Author | Critcher, Rose |
File Modified | 2017-05-03 |
File Created | 2017-03-28 |