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

This document provides information for dental providers on how to enroll in the Electronic Remittance Advice (ERA) program with Deseret Mutual Benefit Administrators, including required registrations,

How to fill out dental electronic remittance advice

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

1. Gather Required Information: Collect necessary details such as provider name, address, Tax Identification Number (TIN), and NPI (National Provider Identifier).
2. Access Enrollment Form: Obtain the Dental ERA Enrollment Registration form from the payer’s website or request it directly.
3. Complete Provider Information: Fill in your practice’s name, billing address, contact details, and any other required identification information.
4. Specify Payment Method: Indicate your preferred payment method and ensure to provide bank account details if necessary.
5. Review and Confirm: Check all filled information for accuracy to avoid delays in processing.
6. Sign and Date: Affix your signature and date the form to validate the enrollment.
7. Submit the Form: Send the completed form through the designated method outlined by the payer (mail, fax, or online submission).
8. Follow Up: Confirm the enrollment status with the payer after a few weeks to ensure processing is complete.

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

1. Dental providers and practitioners such as dentists, orthodontists, and dental hygienists who want to receive electronic payment remittances from insurance payers.
2. Billing personnel or administrative staff working in dental practices responsible for managing claims and payments.
3. Any dental practice transitioning from paper-based payments to electronic payment systems for efficiency.

People Also Ask about

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.

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 enrollment form?

Electronic Remittance Advice (ERA) or 835 file is the electronic remittance describing the payer, payee, payment amount, and other identifying information about the payment.

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.

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.

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).

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.

For pdfFiller’s FAQs

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

Dental Electronic Remittance Advice (ERA) Enrollment Registration is the process through which dental providers enroll to receive electronic remittance advice, which is an electronic version of the paper explanation of benefits (EOB) from payers.

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

Dental providers who wish to receive electronic remittance advice from insurance payers are required to file Dental Electronic Remittance Advice (ERA) Enrollment Registration.

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

To fill out Dental Electronic Remittance Advice (ERA) Enrollment Registration, providers must complete a designated form by providing necessary business information, payer identification numbers, and selecting their electronic clearinghouse.

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

The purpose of Dental Electronic Remittance Advice (ERA) Enrollment Registration is to facilitate the electronic exchange of payment information between dental providers and payers, improving the efficiency of the billing process.

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

The information that must be reported on Dental Electronic Remittance Advice (ERA) Enrollment Registration includes provider identification details, taxpayer identification number (TIN), NPI (National Provider Identifier), and the designated clearinghouse for electronic transactions.