
Get the free Medi-Cal Rx Electronic Remittance Advice (ERA ...
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Medicaid California ERA EnrollmentSubmit the completed Payer Request Form to:
Inovalon Enrollment
enrollmentsupport@inovalon.com
INSTRUCTIONS
Complete all sections of the Payer Request Form
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How to fill out medi-cal rx electronic remittance

How to fill out medi-cal rx electronic remittance
01
Log in to the Medi-Cal provider website
02
Navigate to the claims section and select electronic remittance
03
Enter the required information for the electronic remittance form
04
Review the information entered for accuracy
05
Submit the electronic remittance form
Who needs medi-cal rx electronic remittance?
01
Healthcare providers who accept Medi-Cal insurance and want to receive electronic remittance advice for their claims
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What is medi-cal rx electronic remittance?
Medi-Cal RX electronic remittance is a process used by Medi-Cal to electronically remit payments for pharmacy services and drugs, providing an efficient way to handle claims and payments.
Who is required to file medi-cal rx electronic remittance?
Pharmacy providers who deliver services to Medi-Cal recipients are required to file medi-cal rx electronic remittance.
How to fill out medi-cal rx electronic remittance?
To fill out medi-cal rx electronic remittance, providers must complete the electronic format required by the Medi-Cal program, ensuring all necessary information is accurately entered, including patient details, service codes, and payment amounts.
What is the purpose of medi-cal rx electronic remittance?
The purpose of medi-cal rx electronic remittance is to streamline the payment process for pharmacy claims, reduce paperwork, and ensure quick and accurate payments to providers.
What information must be reported on medi-cal rx electronic remittance?
The information that must be reported includes the recipient's identification number, the prescription number, service date, amount billed, amount paid, and any adjustments or denials.
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