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

This document is an enrollment registration form for providers to participate in Dental Electronic Remittance Advice (ERA) with Rhode Island Blue Cross Blue Shield, detailing the requirements and

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 their website.
2. Fill out the required provider information, including the National Provider Identifier (NPI) and Tax Identification Number (TIN).
3. Provide contact details for the dental practice, including the mailing address, phone number, and email.
4. Indicate the insurance plans you are enrolling for by checking the appropriate boxes.
5. Review the agreement terms and conditions carefully.
6. Sign and date the form to certify that the information provided is accurate and complete.
7. Submit the completed form to the designated address or via the specified electronic method.

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

1. Dental practices that want to receive electronic remittance advice from insurance payers.
2. Dentists seeking to streamline their billing and claims processing.
3. Healthcare providers aiming to improve efficiency in tracking payments and denials.

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 in which dental providers enroll to receive electronic remittance advice from payers, detailing payments and adjustments made on their claims.

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

Dental providers seeking 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 the DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION, providers need to provide their practice information, payer details, and any necessary identifiers specific to the payer for electronic communications.

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

The purpose of DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION is to enable dental providers to receive detailed electronic information regarding their claim payments and adjustments, streamlining the payment reconciliation process.

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

Information required for DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION includes the provider's name, address, tax identification number, NPI number, payer name, and any specific account numbers or identifiers assigned by the payer.