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Anthem.com/wps/portal/ca/culdesac contentpath provider/f2/s0/t0/pwa111401. htm rootLevel 1 name edi label Register. 1755 Telstar Drive Ste 400 Colorado Springs CO 80920 www. optum.com BC001 Thank you for choosing Electronic Network Systems Clearinghouse a division of Optum to submit your ERAs. Also please advise if you did Choose the EFT/ERA option when returning the completed OPTUM ERA Setup Form. BC001 Blue Cross of California - ERA Last Updated 5/28/2015 ERA Enrollment Form Fax 804...

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Medical providers who want to receive electronic remittances for their claims need to fill out the ERA Enrollment form.

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What is form era enrollment for?

Form era enrollment is used to enroll in the Employer Retirement Arrangements (ERA) program for eligible employees.

Who is required to file form era enrollment for?

Employers with eligible employees who wish to participate in the ERA program are required to file form era enrollment.

How to fill out form era enrollment for?

Form era enrollment can be filled out by providing all required information about eligible employees and submitting the form to the designated authority.

What is the purpose of form era enrollment for?

The purpose of form era enrollment is to allow eligible employees to participate in the ERA program and save for retirement.

What information must be reported on form era enrollment for?

Form era enrollment must include information about eligible employees such as their names, social security numbers, and contribution amounts.

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