Get the free DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION

This document is an enrollment form for providers to participate in the Oregon Medicaid Dental Electronic Remittance Advice (ERA) program, detailing required information and procedures for enrollment,

How to fill out dental electronic remittance advice

How to fill out DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION

1. Obtain the Dental Electronic Remittance Advice (ERA) Enrollment Registration form from your dental insurance provider or download it from their website.
2. Fill out the provider details section with your name, dental practice name, and contact information.
3. Enter your National Provider Identifier (NPI) number accurately in the designated field.
4. Indicate the types of claims you wish to receive electronic remittances for, such as in-network or out-of-network claims.
5. Provide your bank account information if prompted, to facilitate direct deposits.
6. Sign and date the form to validate your enrollment request.
7. Submit the completed form according to the instructions, which may include mailing, faxing, or submitting it online.

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

1. Dental practices/providers who wish to receive electronic remittance advices for claims processed by insurance payers.
2. Providers transitioning from paper remittances to electronic processes for efficiency and accuracy.
3. Dentists who participate in managed care or insurance networks that offer electronic remittance options.

People Also Ask about

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.

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 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.

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.

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.

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).

For pdfFiller’s FAQs

What is DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?

DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION is a process by which dental providers enroll to receive electronic remittance advice from payers. This allows dental professionals to receive payment information electronically, improving efficiency and reducing paperwork.

Who is required to file DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?

Dental providers and practices that want to receive electronic remittance advice from insurance payers are required to file for DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION. This generally includes dentists, dental clinics, and specialty dental practices.

How to fill out DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?

To fill out the DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION, dental providers must complete the registration form provided by their chosen payer, ensuring all required information is accurately filled out, including provider identification numbers, contact details, and banking information for electronic payments.

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 providers by enabling them to receive remittance information electronically. This reduces the need for paper statements and allows for faster reconciliation of payments.

What information must be reported on DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION?

The information that must be reported on the DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION typically includes the dental provider's name, NPI number, tax ID, contact information, and preferred method of receiving electronic remittance (e.g., email or secure portal).