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Eden ERA Provider Setup Form Email: batch enrollment emdeon.com Fax: (615) 885 3713 1 Provider Organization Practice/Facility Name Tax ID Practice/Facility Address City Contact Name State Contact
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What is era provider setup form?
The era provider setup form is a document that needs to be filled out to set up an Electronic Remittance Advice (ERA) provider account.
Who is required to file era provider setup form?
Healthcare providers and medical billing companies are required to file the era provider setup form.
How to fill out era provider setup form?
To fill out the era provider setup form, you need to provide the requested information such as your contact details, organization information, banking information, and any other required information. The form can usually be completed online or through a paper submission.
What is the purpose of era provider setup form?
The purpose of the era provider setup form is to establish a connection between the healthcare provider or medical billing company and the ERA provider. It allows for the electronic delivery of remittance advice to streamline the payment process.
What information must be reported on era provider setup form?
The era provider setup form typically requires information such as the provider's name, address, contact information, banking details, Tax ID number, and any other relevant details needed for the setup process.
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