Some payers require a one-time enrollment before they'll pay RTM claims.
Certain payers — for example Medicare, Tricare, and some Medicaid plans — require a one-time payer enrollment before they will process RTM claims from your practice. When this applies to you, SaRA's billing team prepares the paperwork; your part is signing it and getting it back to us.
The journey, start to finish
Every enrollment moves through the same four stages. If you ever ask us "where does this stand," the answer will be one of these:
Stage | What's happening | Who acts |
1. Paperwork ready | SaRA's billing team prepares the payer's enrollment paperwork and posts it to your SaRA account. | SaRA |
2. Signed or completed | An account Owner prints the form, signs it by hand, and returns it to us — or, when the payer sends instructions instead of a form, completes the step they asked for. | You |
3. Submitted to payer | We file the signed enrollment with the payer on your behalf. | SaRA |
4. Confirmed | The payer accepts the enrollment, and RTM claims for that payer start moving. | The payer — we follow up so you don't have to |
Where the paperwork appears, and what to do with it
SaRA's billing team prepares the payer enrollment paperwork and posts it to your account.
An account Owner will find it under Manage > Documents, listed as a Payer Enrollment item.
Print the form, sign it by hand, and send the signed copy back to SaRA's billing team. Most payers require a wet signature on their own form, so an electronic signature is not accepted. The billing team confirms how to return it when they send it.
Some payers don't send a form at all — instead you'll get a short set of instructions to complete, often a step inside the payer's own portal. Same principle: do the step, then tell us it's done so we can move the enrollment forward.
Your completed paperwork stays in your Documents list, where you can download a copy any time.
The one rule that saves weeks
Always return signed forms to SaRA — we submit them to the payer for you. If a payer ever asks your office to send something directly, loop us in with a copy. An enrollment we don't know about is one we can't track or chase, and that's how enrollments quietly stall.
What this enrollment does not cover
SaRA does not handle remit (ERA/EFT) enrollment. Payer enrollment gets your RTM claims accepted by the payer. It is separate from electronic remittance advice and electronic funds transfer, which control how payment and remit detail come back to you. If you want ERA or EFT set up with a payer, that enrollment stays with your practice or your clearinghouse.
While you wait
After we submit, the timeline is in the payer's hands — often several weeks. We track every pending enrollment and follow up with the payer, so a quiet stretch usually means "the payer is processing," not "something went wrong."
While an enrollment is pending, RTM claims for that payer wait in line — that's expected, not an error. They're queued, not lost, and they start moving once the payer confirms.
If you want a status update on a pending enrollment, or you're seeing claim denials that mention enrollment, message us through the in-app chat and we'll check where things stand.