Get the free Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration
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This document serves as an enrollment registration form for healthcare providers to participate in Electronic Remittance Advice (ERA) with Alabama Medicaid, facilitating electronic processing of dental
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How to fill out alabama medicaid dental electronic
How to fill out Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration
01
Obtain the Alabama Medicaid Dental ERA Enrollment Registration form.
02
Fill in your practice information, including name, address, and NPI number.
03
Provide your contact information including phone number and email address.
04
Indicate if you are a new provider or if you are updating existing information.
05
Specify the billing method you will use for claims submissions.
06
Sign and date the form to certify the information provided is accurate.
07
Submit the completed form to the appropriate Alabama Medicaid office either by email or mail.
Who needs Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
01
Dental providers enrolled in Alabama Medicaid seeking electronic remittance advice for their claims.
02
Any healthcare facility providing dental services covered under Alabama Medicaid.
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People Also Ask about
What is the phone number for Medicaid enrollment in Alabama?
(888) 223-3630 (Nationwide Toll-Free) Hours (All times Central) - Monday - Friday 8 a.m. to 5 p.m.
How do I enroll as a Medicaid provider in Alabama?
For help enrolling as a Medicaid provider, contact 1(888) 223-3630 or (334) 215-0111.
How do I contact Alabama Medicaid EDI?
(800) 456-1242 (Nationwide Toll Free) Local: (334) 215-0111.
How do I check my Medicaid in Alabama?
You can view your coverage on the My Medicaid Portal. After you login, select the “Coverage” tab at the top of the page or look underneath the “Coverage” section on the home page. Select “Who is Covered”. A recipient list will appear with the recipient's date of birth and coverage details.
How do I enroll as a provider for Medicaid in Alabama?
A variety of online and paper forms are available to providers wishing to enroll or revalidate. For help enrolling as a Medicaid provider, contact 1(888) 223-3630 or (334) 215-0111.
What qualifies a person for Medicaid in Alabama?
To be eligible for Medicaid you must: Be a resident of Alabama, • Be a U.S. citizen or be in satisfactory immigration status according to agency rules (non-citizens must provide proof of immigrant status to receive full Medicaid services).
How do I contact Medicaid in Alabama?
For numbers not listed here, call Medicaid's main switchboard at (334) 242-5000 for assistance.
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What is Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration is a formal process through which dental providers can register to receive electronic remittance advices, which provide details about the payments made for services rendered to Medicaid recipients.
Who is required to file Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
Dental providers who participate in the Alabama Medicaid program and wish to receive electronic payments and remittance advices are required to file for the Alabama Medicaid Dental ERA Enrollment Registration.
How to fill out Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
To fill out the Alabama Medicaid Dental ERA Enrollment Registration, providers need to complete the designated application form, providing necessary details such as their Medicaid provider number, contact information, and bank account details for direct deposit, and submit it according to the instructions provided by Alabama Medicaid.
What is the purpose of Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
The purpose of Alabama Medicaid Dental ERA Enrollment Registration is to facilitate the electronic transmission of remittance advice and streamline the payment process for dental providers, allowing for quicker and more efficient management of claims and payments.
What information must be reported on Alabama Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
Required information on the Alabama Medicaid Dental ERA Enrollment Registration includes the dental provider's Medicaid provider number, the provider's name and address, NPI (National Provider Identifier), contact person details, and bank account information for electronic deposits.
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