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This form is used to ensure accuracy in updating provider information for Electronic Remittance Advice (ERA) enrollment and includes guidelines for submitting the form to Aetna Better Health.
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How to fill out emdeon era provider information

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How to fill out Emdeon ERA Provider Information Form

01
Begin by downloading the Emdeon ERA Provider Information Form from the Emdeon website.
02
Enter your practice name and address in the designated fields.
03
Provide your National Provider Identifier (NPI) number if applicable.
04
Fill in the contact information for the person responsible for managing Electronic Remittance Advice (ERA) issues.
05
Indicate the preferred method of receiving ERA (e.g., electronically, via mail).
06
Review the form for accuracy and completeness.
07
Sign and date the form to verify the information provided.
08
Submit the completed form according to the instructions included with it.

Who needs Emdeon ERA Provider Information Form?

01
Healthcare providers who wish to receive electronic remittance advice from Emdeon.
02
Billing personnel responsible for processing insurance payments and remittances.
03
Practices transitioning from paper-based remittance processes to electronic systems.
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The Emdeon ERA Provider Information Form is a document used by healthcare providers to enroll in electronic remittance advice (ERA) services offered by Emdeon, which facilitates the electronic processing of payment information.
Healthcare providers and organizations that wish to receive electronic remittance advice from Emdeon are required to file the Emdeon ERA Provider Information Form.
To fill out the Emdeon ERA Provider Information Form, providers must complete the sections that require their identification details, payment preferences, and any necessary signatures, ensuring the information is accurate and up-to-date before submission.
The purpose of the Emdeon ERA Provider Information Form is to allow healthcare providers to request and set up their account for receiving electronic remittance advice, which streamlines the claims payment process.
The information that must be reported on the Emdeon ERA Provider Information Form includes the provider's name, address, National Provider Identifier (NPI), tax identification number, and payment preferences.
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