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GHI – Emblem Health

WEBERA Enrollment Instructions Approval Process and Timeframes: ERA enrollment can take 4-6 weeks for processing. *May require additional testing time.

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Health Partners of Minnesota

WEBERA Enrollment Instructions 01/08/2021 Health Partners of Minnesota Attention Providers: To start sending Claim s toHealth Partners of Minnesota through E DS, you will need to …

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Massachusetts Health Program

WEBMassachusetts Health Program Attention Providers: In order to start receiving your ERAs for Massachusetts Health Program through EDS, you will

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Dental Electronic Claims Clearinghouse

WEBDenti-Cal Medi-Cal Update EDI Clearinghouse Form 94146 Size: 235 KB

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Payer Elig. List

WEBPayer Elig. List Payer ID Payer Name Type 52133 Dental Benefit Providers (Thiensville, WI) Benefit 52133 Dental Benefit Providers\United Health - Bethesda, MD,U Benefit

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Guardian Life Insurance Co. of America

WEBEnrollment Application: Single Payer ERA Enrollment Form. Upload, Email or Fax Application to: Send completed forms to: [email protected] Fax 561-389-9152. …

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NEW YORK MEDICAID DENTAL ELECTRONIC CLAIMS …

WEBAt the bottom of the form an original signature, date, name and title will be required when notarized. SEND REGISTRATION FORMS TO. EDS 400 Vermillion Street Hastings, …

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Medicaid of Wyoming

WEBClearinghouse Authorization Form Page 1 Revised: October 24, 2012 Wyoming Medicaid Clearinghouse Authorization Form Complete one form for each pay-to provider.

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Payer Claims List

WEBPayer Claims List Payer ID Payer Name Req. Enroll. NULL No 59069 21st Century Health (MedsavUSA)(NJ) No 74237 32 Dental (PO Box 9150, Austin, TX) Yes

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DXC Standards for Creating Documents

WEB800.576.6412 17701 Cowan . Suite 250 . Irvine . California 92614 SelectHealth Attention Providers: In order to start receiving your ERAs for SelectHealth through EDS, you will …

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ERA Enrollment Instructions Dental Benefit Providers

WEBDental Benefit Providers Attention Providers: In order to start receiving your ERAs forDental Benefit Providersthrough EDS,youwillneed to print

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PAYER ID NUMBER CX080 ELECTRONIC REGISTRATIONS …

WEBPrior to accepting claims electronically PEHP requires the provider to call EDI Support at 801-366-7544 or 800-753-7818. Providers should advise PEHP that they will be …

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Meritain Health (formerly Corporate Benefit Services of …

WEBECHO Health, Inc. 810 Sharon Drive Westlake, Ohio 44145 Phone: 440.835.3511 Fax: 440.835.5656 www.EchoHealthInc.com Provider Contact Name: _____

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PublicEmployeesHealthProgram-PEHP

WEBZip: Section 1- Transaction Selection (Check all P.O. Box)transactions that you want) Section 3-Provider Physical Address (No *Complete all Sections (1 to 6) Street: Dental …

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