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This document provides details on how to enroll in the Dental Electronic Remittance Advice (ERA) program with Arkansas Medicaid, including participation requirements, CCD+ reassociation data elements,
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How to fill out ARKANSAS MEDICAID DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION

01
Obtain the Arkansas Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration form from the official Arkansas Medicaid website or your dental practice's billing department.
02
Fill out the provider information section, including your dental practice name, NPI (National Provider Identifier), and address.
03
Provide the contact information for the person responsible for receiving remittance advice.
04
Complete the electronic submission method section, indicating your preference for receiving ERA (i.e., through a specific clearinghouse or directly from Arkansas Medicaid).
05
Review the enrollment agreement terms and conditions carefully.
06
Sign and date the form to certify that the information provided is accurate and complete.
07
Submit the completed form as per the instructions, either electronically or via mail, to the designated Arkansas Medicaid office.

Who needs ARKANSAS MEDICAID DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?

01
Dental providers and practices that participate in the Arkansas Medicaid program and wish to receive electronic remittance advice for claims processing.
02
Any dentist who is billing Arkansas Medicaid for services rendered to eligible patients and wants to streamline their billing process.
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People Also Ask about

ARKids First is health care insurance for children that uses state and federal money to help pay for medical care. The Department of Human Services (DHS) run the Medicaid program in Arkansas. ARKids First has two programs: ARKids First-A and ARKids First-B. ARKids First-A is Medicaid for children.
ARHOME is a Medicaid program that offers eligible Arkansans private health insurance coverage. The insurance is offered through qualified health plans from Arkansas BlueCross BlueShield, Arkansas Health & Wellness (Ambetter), and QualChoice. View your claims, health care records, and pick a plan.
Learn more about enrolling as an Arkansas Medicaid provider. If you have questions about how to enroll, call Arkansas Medicaid Provider Enrollment at 501-376-2211 or 1-800-457-4454 toll-free.
If you have questions about how to enroll, call Arkansas Medicaid Provider Enrollment at (501) 376-2211 or toll free at (800) 457-4454. When prompted, select 0 for “Other Inquiries”, then option 3 for “Provider Enrollment”.
★ Arkansas Medicaid Arkansas State Contacts. Eligibility. Enrollment. ☎ Coverage, Bills, Denial letters, Other services: 800-482-5431. ☎ Lost/non-receipt of Medicaid cards, Eligibility: Toll-Free: 800-482-8988, Local: 501-682-8233.
Arkansans between the ages of 19 and 64 who are not enrolled in Medicare and who earn less than 138 percent of the federal poverty level but more than 16 percent are eligible for ARHOME. ARKids First is a health insurance program that provides coverage for hundreds of thousands of children across the state.
Apply for Medicaid in Arkansas You can enroll in Medicaid online at Access Arkansas. Or you can visit a Department of Human Services office in your county, or call 1-800-482-8988.

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ARKANSAS MEDICAID DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION is a process that allows dental providers to receive electronic remittance advice from Arkansas Medicaid for claims processed under the program.
Dental providers who are enrolled in the Arkansas Medicaid program and wish to receive electronic remittance advice must file the ARKANSAS MEDICAID DENTAL ERA ENROLLMENT REGISTRATION.
To fill out the ARKANSAS MEDICAID DENTAL ERA ENROLLMENT REGISTRATION, providers need to complete the required forms with accurate information, including provider details and contact information, and submit them as instructed by Arkansas Medicaid.
The purpose of the ARKANSAS MEDICAID DENTAL ERA ENROLLMENT REGISTRATION is to streamline the payment process for dental providers by enabling them to receive detailed electronic remittance information regarding their claims, which facilitates quicker and more efficient account reconciliation.
The information that must be reported on the ARKANSAS MEDICAID DENTAL ERA ENROLLMENT REGISTRATION includes the provider's name, Medicaid provider number, practice address, contact information, and any other required details specified by Arkansas Medicaid.
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