Get the free Dental Electronic Remittance Advice (ERA) Enrollment Registration

This document is an enrollment registration form for Electronic Remittance Advice (ERA) under Washington Blue Cross Blue Shield (Premera), outlining required information and instructions for providers

How to fill out dental electronic remittance advice

How to fill out Dental Electronic Remittance Advice (ERA) Enrollment Registration

1. Gather required information including your dental practice details, tax identification number, and NPI (National Provider Identifier).
2. Obtain the Dental Electronic Remittance Advice (ERA) Enrollment Registration form from your payer or their website.
3. Fill out the form with accurate information, ensuring that all fields are completed as required.
4. Provide information about the bank account for electronic payment deposits if necessary.
5. Review the completed form for accuracy and completeness.
6. Sign and date the form as required.
7. Submit the form according to the payer's instructions, typically via mail or secure online submission.

Who needs Dental Electronic Remittance Advice (ERA) Enrollment Registration?

1. Dental practices that bill insurance companies for services rendered.
2. Dental providers who want to receive payments electronically.
3. Dentists and dental offices that want to streamline their billing and payment reconciliation processes.

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.

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.

What is an era enrollment form?

Electronic Remittance Advice (ERA) or 835 file is the electronic remittance describing the payer, payee, payment amount, and other identifying information about the payment.

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.

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.

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 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.

For pdfFiller’s FAQs

What is Dental Electronic Remittance Advice (ERA) Enrollment Registration?

Dental Electronic Remittance Advice (ERA) Enrollment Registration is a process through which dental providers formally register to receive electronic remittance advice documents from payers, detailing claims payments and adjustments electronically instead of through paper formats.

Who is required to file Dental Electronic Remittance Advice (ERA) Enrollment Registration?

Dental providers, including dentists and dental practices that wish to receive electronic payments and remittance advice from insurance payers, are required to file 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 need to complete a form that typically includes their National Provider Identifier (NPI), practice details, contact information, and the designated clearinghouse or electronic data interchange (EDI) vendor, if applicable.

What is the purpose of Dental Electronic Remittance Advice (ERA) Enrollment Registration?

The purpose of Dental Electronic Remittance Advice (ERA) Enrollment Registration is to streamline the payment process for dental claims by allowing providers to receive electronic remittance advice, thus improving efficiency, reducing errors, and facilitating faster processing of payments.

What information must be reported on Dental Electronic Remittance Advice (ERA) Enrollment Registration?

The information that must be reported on Dental Electronic Remittance Advice (ERA) Enrollment Registration typically includes the provider's name, National Provider Identifier (NPI), tax identification number (TIN), contact information, and details about the clearinghouse or EDI vendor to be used for receiving the electronic remittance advice.