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This document is a registration form for enrolling in the Dental Electronic Remittance Advice (ERA) program under Washington, D.C. Medicaid, providing guidelines for enrollment, changing billing agents,
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How to fill out washington dc medicaid dental
How to fill out Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration
01
Obtain the Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration form from the official Medicaid website.
02
Fill out the provider information section, including the name, address, and National Provider Identifier (NPI) number.
03
Provide your Tax Identification Number (TIN) or Social Security number as required.
04
Indicate the type of dental services you provide and any relevant specialty information.
05
Choose your preferred electronic transmission method for receiving the ERA (e.g., directly from Medicaid or through a clearinghouse).
06
Sign and date the form to confirm the accuracy of the information provided.
07
Submit the completed form to the appropriate Medicaid office as instructed on the form.
Who needs Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
01
Dentists and dental providers who participate in the Washington, D.C. Medicaid program.
02
Healthcare organizations that offer dental services to Medicaid beneficiaries.
03
Billing and administrative personnel managing Medicaid claims for dental services.
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People Also Ask about
What is the easiest way to apply for Medicaid?
Create an account with the Health Insurance Marketplace and fill out an application. If it looks like anyone in your household qualifies for Medicaid, your information will be sent to your state agency.
How to get DC Medicaid number?
If you need help applying for Medicaid or renewing your Medicaid coverage, or have questions about these benefits, call District Direct at (202) 727-5355 / TTY: 711.
How do I know if my DC Medicaid is active?
For more information, go to DHCF's Medicaid renewal information page . If you need help renewing Medicaid, or would like to know the status of your Medicaid benefits or renewal, call District Direct at (202) 727-5355 / TTY: 711.
How do I contact Medicaid in DC?
You may apply for Medicaid for low-income families and children under 19 and pregnant women at your Income Maintenance Administration (IMA) Service Center. You may call (202) 727-5355 to locate your nearest IMA Service Center.
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.
Does DC have its own Medicaid?
District of Columbia Medicaid is a joint federal-state health insurance program that provides health care coverage to low-income and disabled adults, children and families. To qualify for DC Medicaid, you must be a resident of the District of Columbia and meet non-financial and financial eligibility requirements .
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What is Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration is a process through which dental providers enroll to receive electronic remittance advices regarding Medicaid claims for dental services. It facilitates the electronic communication of payment information and reduces paperwork.
Who is required to file Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
Dental providers who want to receive electronic remittance advices from Washington, D.C. Medicaid must file the ERA Enrollment Registration. This requirement includes all enrolled Medicaid dental practitioners and organizations.
How to fill out Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
To fill out the Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration, providers need to provide specific information such as their National Provider Identifier (NPI), billing address, contact information, and preferred communication methods. Detailed instructions are usually provided on the application form.
What is the purpose of Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
The purpose of the Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration is to enable dental providers to receive timely and accurate electronic notifications of payments and adjustments for services rendered. This streamlines the billing process and improves financial efficiency for the providers.
What information must be reported on Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration?
The information that must be reported on the Washington, D.C. Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration includes the provider's NPI, billing address, contact person details, Tax Identification Number (TIN), and any relevant electronic communication preferences.
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