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ABILITY ERA ENROLLMENT INSTRUCTIONS WHICH FORM(S) SHOULD I DO? Ability ERA Enrollment Form note: If a BCBS payer is selected, you will automatically be enrolled for all BCBS payers listed on the form.

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How to fill out multi-payer electronic remittance advice

01

Obtain the multi-payer electronic remittance advice form from the payer or online portal.

02

Fill in the patient information including name, ID number, and date of service.

03

Enter the insurance information for each payer, including name, policy number, and group number.

04

List the services provided and corresponding charges for each payer.

05

Include any adjustments or denials from the payer for each service.

06

Submit the completed form electronically or via mail to the payer for processing.

Who needs multi-payer electronic remittance advice?

01

Healthcare providers who receive payments from multiple insurance companies.

02

Billing departments or accounts receivable staff at healthcare facilities.

03

Insurance companies who need to provide remittance advice to healthcare providers.

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What is multi-payer electronic remittance advice?

Multi-payer electronic remittance advice is a digital document that provides information about payment details including what was paid, what adjustments were made, and why.

Who is required to file multi-payer electronic remittance advice?

Healthcare providers and organizations that receive payments from multiple insurance companies are required to file multi-payer electronic remittance advice.

How to fill out multi-payer electronic remittance advice?

Multi-payer electronic remittance advice can be filled out using electronic health record systems or specialized software that can generate the necessary information.

What is the purpose of multi-payer electronic remittance advice?

The purpose of multi-payer electronic remittance advice is to streamline the payment process, reduce paperwork, and improve accuracy in payment reconciliation.

What information must be reported on multi-payer electronic remittance advice?

Information such as patient name, date of service, procedure codes, payment amounts, adjustments, and reason codes must be reported on multi-payer electronic remittance advice.

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