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Get the free Iowa Medicaid Dental Electronic Remittance Advice Enrollment Registration

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This document outlines the enrollment process for providers wishing to participate in Iowa Medicaid's Dental Electronic Remittance Advice (ERA) program through Emdeon. It details the requirements,
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How to fill out Iowa Medicaid Dental Electronic Remittance Advice Enrollment Registration

01
Visit the Iowa Medicaid website and download the Electronic Remittance Advice (ERA) Enrollment Registration form.
02
Read the instructions carefully before starting to fill out the form.
03
Provide your provider information, including your name, address, and Iowa Medicaid provider number.
04
Indicate your preference for receiving electronic remittance advices by selecting the appropriate option on the form.
05
Provide your email address and any additional contact information required for delivery of the electronic remittance advice.
06
Review the completed form for accuracy and completeness.
07
Sign and date the enrollment registration form.
08
Submit the completed form to the designated Iowa Medicaid office, either by mail or electronically, as instructed.

Who needs Iowa Medicaid Dental Electronic Remittance Advice Enrollment Registration?

01
Dental providers who wish to receive electronic remittance advices from Iowa Medicaid for their services.
02
Providers who want to streamline their billing and payment processes with Iowa Medicaid.
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Iowa Medicaid Member Services Toll Free. 1-800-338-8366. Local Des Moines. 515-256-4606. Fax. 515-725-1351.
Iowa Total Care's Medicaid plans offers comprehensive health care benefits and services that suit the needs of families and individuals throughout Iowa.
Iowa Medicaid Member Services Toll Free. 1-800-338-8366. Local Des Moines. 515-256-4606. Fax. 515-725-1351.
If you have any questions, please contact the IME Provider Enrollment Unit at 1-800-338-7909 or by email at: imeproviderenrollment@dhs.state.ia.us.
Call our toll-free Provider Services number at 833-404-1061 from any touch-tone phone and follow the appropriate menu options to reach our automated member eligibility-verification system 24 hours a day. The automated system will prompt you to enter the member Medicaid ID and the month of service to check eligibility.
How Do I Apply for Iowa Medicaid or Hawki? Step 2: Complete the form Complete form and be sure to sign the application. Step 3: Return form to HHS Return form to a local HHS office, email it to imaginingcenter4@dhs.state . ia.us or fax it to 515-564- 4016.
Step 2: Complete the application. Complete form and be sure to sign the application. Step 3: Submit the application You will receive a confirmation number after submission. Step 4: Wait It can take up to 45 days to process an application.

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Iowa Medicaid Dental Electronic Remittance Advice Enrollment Registration is a process for dental providers to enroll in electronic remittance advice systems, allowing them to receive payment information and claims adjustments electronically.
Dental providers who wish to receive electronic remittance advice from Iowa Medicaid must file the Iowa Medicaid Dental Electronic Remittance Advice Enrollment Registration.
To fill out the Iowa Medicaid Dental Electronic Remittance Advice Enrollment Registration, providers must complete the required forms, providing accurate information about their dental practice, including tax identification details and contact information.
The purpose of the registration is to facilitate a smoother and more efficient payment process for dental services provided under Iowa Medicaid, ensuring providers receive timely and accurate payment information.
Providers must report information such as their National Provider Identifier (NPI), tax identification number, address, contact information, and any other relevant practice details required by the enrollment form.
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