Eligibility
These enrollments are needed for some payers in order for the practice to verify eligibility (patient coverage). Enrollments will be provided to the practice’s billing contact by the billing project manager. Enrollments will be prefilled and will only need to be reviewed and submitted by the practice. Once submitted practice will notify billing project manager so the clearinghouse portal can be updated for tracking.
EDI
These enrollments are needed for some payers in order for the practice to submit claims electronically. Enrollments will be provided to the practice’s billing contact by the billing project manager. Enrollments will be prefilled as much as possible within the pdf. Practice will than review, complete as needed (this may include online setup depending on the payer), sign as needed, and submit enrollments. Once submitted practice will notify billing project manager so the clearinghouse portal can be updated for tracking.
ERA
These enrollments are needed for most payers in order for the practice to receive ERAs electronically. Enrollments will be provided to the practice’s billing contact by the billing project manager. Enrollments will be prefilled as much as possible within the pdf. Practice will than review, complete as needed (this may include online setup depending on the payer), sign as needed, and submit enrollments. Once submitted practice will notify billing project manager so the clearinghouse portal can be updated for tracking.
