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Electronic Remittance Advice Enrollment Use this form to request set up for electronic remittance advice. Submit the completed form to providersystemsadmin GHC.org or fax your request to 2069882001.
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What is electronic remittance advice enrollment?
Electronic remittance advice enrollment is the process of signing up to receive electronic notifications of payment and remittance details from a payer.
Who is required to file electronic remittance advice enrollment?
Healthcare providers and suppliers who receive payments from a payer are required to file electronic remittance advice enrollment.
How to fill out electronic remittance advice enrollment?
To fill out electronic remittance advice enrollment, healthcare providers and suppliers need to follow the instructions provided by the payer and submit the required information electronically.
What is the purpose of electronic remittance advice enrollment?
The purpose of electronic remittance advice enrollment is to streamline the payment process, improve accuracy, and reduce paperwork associated with receiving payments.
What information must be reported on electronic remittance advice enrollment?
Information such as provider/supplier name, address, contact information, tax ID, NPI, and banking details must be reported on electronic remittance advice enrollment forms.
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