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CARE OF MINNESOTA (52629)
ERA ENROLLMENT INSTRUCTIONS
WHAT FORM(S) SHOULD I DO?
Optum360 ERA Enrollment Form (Institutional Claims 52629)Ability ERA/EFT Enrollment Form
note: This is completed onlineoClearinghouse
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How to fill out how to enroll for
How to fill out how to enroll for
01
Visit the official website of the organization offering the enrollment process.
02
Look for the enrollment section or tab on the website.
03
Fill out the required personal information such as name, contact details, address, etc.
04
Provide any additional information or documents requested by the organization.
05
Review the information filled out and make any necessary corrections.
06
Click on the submit button to complete the enrollment process.
07
Keep a copy of the confirmation or enrollment receipt for reference.
Who needs how to enroll for?
01
Anyone who is interested in joining the organization or program that requires enrollment.
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