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This document outlines the process for providers to enroll in receiving Electronic Remittance Advice (ERA) from Alameda Alliance for Health. It includes the required forms, contact information, and details on the Trading Partner Agreement, as well as instructions on how to complete and submit the forms for enrollment.
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What is era enrollment form?
The ERA enrollment form is a document that allows healthcare providers to enroll in the Electronic Remittance Advice (ERA) system, facilitating the electronic receipt of payment information from payers.
Who is required to file era enrollment form?
Healthcare providers and organizations who wish to receive electronic remittance advice from payers are required to file the ERA enrollment form.
How to fill out era enrollment form?
To fill out the ERA enrollment form, you typically need to provide your practice details, payer information, and any necessary billing information. Instructions are usually included with the form.
What is the purpose of era enrollment form?
The purpose of the ERA enrollment form is to streamline the billing and payment process by enabling providers to receive payment notifications electronically, improving efficiency in financial operations.
What information must be reported on era enrollment form?
The information that must be reported includes your National Provider Identifier (NPI), tax identification number (TIN), practice address, and specific payer information.
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