Get the free Dental Electronic Remittance Advice (ERA) Enrollment Registration
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This document serves to register dental providers with Montana Blue Cross Blue Shield for Electronic Remittance Advice (ERA), detailing the enrollment process and requirements.
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How to fill out dental electronic remittance advice
How to fill out Dental Electronic Remittance Advice (ERA) Enrollment Registration
01
Obtain the Dental Electronic Remittance Advice (ERA) Enrollment Registration form from your dental insurance provider's website or customer service.
02
Fill in the provider's information, including the practice name, Tax ID, and NPI number.
03
Enter the contact information, such as phone number and email address, for any questions regarding the enrollment.
04
Provide bank information for electronic payments, including the account number and routing number.
05
Indicate the preferred method for receiving remittance advice (e.g., email, secure portal).
06
Review all entered information for accuracy.
07
Sign and date the form to authorize enrollment.
08
Submit the completed form as per your provider’s instructions, either by mail or electronically.
Who needs Dental Electronic Remittance Advice (ERA) Enrollment Registration?
01
Dental providers (dentists, dental practices, clinics) who wish to receive electronic payments and remittance advice from insurance companies.
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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.
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What is Dental Electronic Remittance Advice (ERA) Enrollment Registration?
Dental Electronic Remittance Advice (ERA) Enrollment Registration is a process through which dental providers enroll to receive electronic remittance advice from payers, which includes detailed information about claims processing and payments.
Who is required to file Dental Electronic Remittance Advice (ERA) Enrollment Registration?
Dental providers and organizations who wish to receive electronic remittance information from insurance payers are required to file the Dental Electronic Remittance Advice (ERA) Enrollment Registration.
How to fill out Dental Electronic Remittance Advice (ERA) Enrollment Registration?
To fill out the Dental Electronic Remittance Advice (ERA) Enrollment Registration, providers must provide the necessary information about their practice, including practice name, address, tax identification number, and the specific payer information, then submit it to the respective insurance companies.
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 process of receiving payment-related information electronically, making it easier for dental providers to manage their revenue cycle and reconcile 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 includes the provider's demographic details, tax identification number, NPI (National Provider Identifier), payer identification details, and consent for electronic delivery.
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