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

This document is a registration form for dental providers to enroll in the Electronic Remittance Advice (ERA) system for Delaware Medicaid. It outlines the necessary agreements, requirements, and

How to fill out delaware medicaid dental electronic

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

1. Visit the Delaware Division of Medicaid and Medical Assistance website.
2. Navigate to the forms and applications section.
3. Locate the Delaware Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration form.
4. Download and open the form in a PDF viewer.
5. Fill in your dental practice information, including tax identification number and NPI.
6. Provide the contact information for the individual responsible for ERA inquiries.
7. Indicate your preferred method for receiving the ERA - either through a clearinghouse or directly.
8. Review the form for any errors or missing information.
9. Sign and date the completed form.
10. Submit the form via the specified method (online, mail, or fax) to the Delaware Medicaid office.

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

1. Dental providers who participate in the Delaware Medicaid program.
2. Practices that need to receive electronic remittance advice for processing claims.
3. Providers looking to streamline their billing and payment processes.

People Also Ask about

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).

What does EFT membership mean?

EFT means Electronic Funds Transfer. You will automatically have your monthly membership fee deducted from your credit card on the same billing date each month.

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 ERA and EFT?

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 contact Delaware Medicaid?

Email, Phone Numbers and Service Hotlines Customer Relations: (866) 843-7212. Provider Relations: (800) 999-3371. Health Benefits Manager: (800) 996-9969.

What is Delaware Medicaid called?

Diamond State Health Plan – Delaware's Medicaid Managed Care Program. The majority of people receiving Medicaid must choose a family doctor who, along with a managed care organization (MCO), will provide or arrange for all your preventive care and medical needs.

What is an EFT enrollment?

Electronic Funds Transfer, or EFT, is a free and secure way to receive health-care payments more quickly and without risk. And EFT enrollment also eliminates significant challenges and allows funds to be transferred directly to your financial institution without the need for you to cash or deposit a printed check.

For pdfFiller’s FAQs

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

Delaware Medicaid Dental Electronic Remittance Advice (ERA) Enrollment Registration is a process by which dental providers enroll to receive electronic remittance advice for claims submitted to Delaware Medicaid. This system facilitates efficient and timely processing of payment information.

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

Dental providers who participate in the Delaware Medicaid program and wish to receive electronic remittance advice for their claims are required to file the Delaware Medicaid Dental ERA Enrollment Registration.

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

To fill out the enrollment registration, providers need to provide their Medicaid provider number, contact information, bank details for electronic fund transfer, and agree to the terms and conditions. This form can typically be completed online or by submitting a printed version.

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

The purpose of the Delaware Medicaid Dental ERA Enrollment Registration is to streamline the claims payment process by allowing dental providers to receive automated remittance information electronically, thus reducing paperwork and improving efficiency.

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

The information that must be reported includes the provider's Medicaid identifier, practice name, address, electronic address for remittance, and banking information for electronic payments. Additional details may include contact information and acknowledgment of regulatory agreements.