Remittance Delivery: Medicare ERA
Medicare ERA Enrollment
- Go to the CMS website or your Medicare MAC portal.
- Download and complete the CMS-855 or MAC-specific ERA/835 form.
- Submit the form through your MAC's portal or as directed.
- Wait for approval; you will be notified when ERA is active.
More info: CMS ERA Guide.
Enrollment Instructions:
Must complete an EDI Application, EDI Enrollment Agreement and a Provider Authorization form with Availity’s information as defined below: Submitter ID: CH15000500 Name: Availity, LLC Operating as a: Clearinghouse Street: 10752 Deerwood Park Blvd, Ste 110 City/State/Zip: Jacksonville, FL 75081 Contact Name: Availity Client Services Phone Number: 800/282-4548 Email Address: eraenrollments@availity.com http://www.cgsmedicare.com/pdf/EDI_Enroll_Packet.pdf |
Additional Instructions:
15101_MEDICARE KENTUCKY PART A (J15)_835.022023.pdf
15101_MEDICARE KENTUCKY PART A (J15)_835.022023.pdf