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This document outlines the enrollment process for participating providers in Texas Medicaid's Dental Electronic Remittance Advice (ERA) program, detailing necessary information, required agreements,
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How to fill out dental electronic remittance advice

How to fill out DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION
01
Gather necessary information: Ensure you have your dental practice details, including NPI number, tax identification number, and contact information.
02
Obtain the ERA enrollment form: Visit the payer's website or your clearinghouse to download the ERA enrollment form.
03
Complete the form: Fill out all required fields accurately, including practice information, billing information, and electronic funds transfer details.
04
Review the application: Double-check the information for accuracy and completeness to avoid delays.
05
Sign the application: Ensure that the designated representative of the dental practice signs the form.
06
Submit the application: Send the completed form to the specified payer address or upload it through their online portal.
07
Confirm the enrollment: Follow up with the payer to confirm that your enrollment has been processed and request any necessary documentation.
Who needs DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?
01
Dental practices that want to streamline their payment processes and receive electronic remittance advice from insurance payers.
02
Dentists and dental billing departments looking to reduce paper-based processes and improve efficiency in handling claims and payments.
03
Practices aiming to enhance their financial management through electronic transactions.
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People Also Ask about
What is an era electronic remittance advice?
An electronic remittance advice, or ERA, is an explanation from a health plan to a provider about a claim payment. An ERA explains how a health plan has adjusted claim charges based on factors like: Contract agreements. Secondary payers. Benefit coverage.
How do I receive an EFT?
In order to receive an EFT, you need to share your banking details with the person sending you one, including your institution number, your branch number and account number, and your transit number.
What is EFT ERA enrollment?
Program and enrollment. What is EFT/ERA? Electronic funds transfer (EFT) and electronic remittance advice (ERA) send money and remittances between payers, such as Kaiser Permanente, and providers electronically. EFT moves the money, and ERA is the detailed explanation of payment (EOP).
How to set up EFT on availity?
Sign in to Availity and select the Claims Status & Payments and then Transaction Enrollment to enroll, update, or cancel EFT.
How do I enroll in EFT and ERA?
How do I enroll? Enroll for EFT/ERA through Payment Accelerator: Enroll online for Payment Accelerator, a free service, to start receiving benefits immediately. Or, download the Network Funding Agreement attach a voided check or bank letter and fax them to U.S. Bank toll-free at 1-877-755-3392.
Is ERA the same as EFT?
Think of it this way: the ERA tells you what the payment is for, and the EFT puts the payment in your account. Using ERAs and EFTs helps billers post payments quickly. It also means you do not have to wait around for paper checks to arrive.
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What is DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?
Dental Electronic Remittance Advice (ERA) Enrollment Registration is the process by which dental providers register to receive electronic remittance advice from insurance payers. This process ensures that providers receive detailed electronic documentation regarding claims payments.
Who is required to file DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?
Dental providers who wish to receive electronic remittance advice from payers are required to file the Dental Electronic Remittance Advice (ERA) Enrollment Registration.
How to fill out DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?
To fill out the Dental Electronic Remittance Advice (ERA) Enrollment Registration, providers must provide their practice details, including the National Provider Identifier (NPI), tax identification number, and contact information, as well as specify the payer they wish to enroll with.
What is the purpose of DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?
The purpose of Dental Electronic Remittance Advice (ERA) Enrollment Registration is to facilitate a streamlined and efficient payment process, reducing paperwork and improving the speed at which providers receive payment information.
What information must be reported on DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?
The information that must be reported includes the provider's NPI, tax identification number, practice name, address, phone number, and details of the payers with whom the provider wishes to enroll for receiving electronic remittance advice.
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