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Get the free ERA Payer Agreement Instructions for California Medi-Cal - MC051

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This document provides instructions for completing the Electronic Health Care Claim Payment/Advice Receiver Agreement for Medi-Cal Providers in California, including the necessary steps for enrollment
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How to fill out ERA Payer Agreement Instructions for California Medi-Cal - MC051

01
Download the ERA Payer Agreement Instructions for California Medi-Cal - MC051 from the official website.
02
Read through the document to familiarize yourself with the content and requirements.
03
Fill out the top section with your provider information, including your National Provider Identifier (NPI) and Tax Identification Number (TIN).
04
Complete the designated sections regarding your practice preferences for electronic remittance advice.
05
Have an authorized representative sign and date the form.
06
Submit the completed form as directed in the instructions—this may include mailing, faxing, or submitting online.

Who needs ERA Payer Agreement Instructions for California Medi-Cal - MC051?

01
Healthcare providers who participate in California Medi-Cal.
02
Billing staff or administrative personnel responsible for managing electronic payments.
03
Entities looking to set up electronic remittance advice for streamlined processing.
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People Also Ask about

Paper Claims All submitted forms must be on standard paper claim forms. Standard claim forms can be purchased from authorized vendors. Accuracy, completeness and clarity of the form are necessary to ensure that the information is scanned correctly into the system.
Telephone Service Center 1-800-541-5555 The Telephone Service Center (TSC) is available from 8 a.m. to 5 p.m., Monday through Friday, except holidays.
Is Medi-Cal the same thing as Medicaid? Medi-Cal is California's version of the Federal Medicaid program. The Department of Health Care Services (DHCS) oversees the Medi-Cal program. Your local county office manages most Medi-Cal cases for DHCS.
Medi-Cal provides free or low-cost health care to people who qualify. It can help pay for doctor visits, hospital care, immunization (vaccines), pregnancy-related services, nursing home care, and other services. This includes: Outpatient (ambulatory) services.
Moving Between Covered California and Medi-Cal To report changes, call Covered California at (800) 300-1506 or sign in to your online account. You can also visit the Contact Us page to find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free help in your area.

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The ERA Payer Agreement Instructions for California Medi-Cal - MC051 is a document outlining the procedures and requirements for electronic remittance advice (ERA) submissions in the Medi-Cal program.
Providers participating in the California Medi-Cal program who wish to receive electronic remittance advice must complete and submit the ERA Payer Agreement Instructions.
To fill out the ERA Payer Agreement Instructions, providers must complete the form with accurate information, including provider identifiers, contact details, and preferred submission methods as outlined in the instructions.
The purpose of the ERA Payer Agreement Instructions is to facilitate the electronic exchange of remittance data between Medi-Cal and participating providers, promoting efficiency in claims processing and payments.
Information that must be reported includes the provider's NPI (National Provider Identifier), Tax Identification Number, contact information, and any additional details required for the electronic submission of remittance advice.
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