Remittance Delivery: Delivery pathway is going to vary and will require clearinghouse level enrollment, please contact us for help if you have trouble getting it working!
Enrollment Instructions:
Please complete the ERA Transfer letter in addition to enrollment forms required as per the Enrollment instructions.
ERA Transfer Letter: https://apps.availity.com/availity/documents/Office_Ally_ERA_Transfer_Letter_835.pdf
ERA Enrollment Instructions:https://apps.availity.com/availity/documents/77044_US_Dept_of_Labor_835.pdf
Please complete the ERA Transfer letter in addition to enrollment forms required as per the Enrollment instructions.
ERA Transfer Letter: https://apps.availity.com/availity/documents/Office_Ally_ERA_Transfer_Letter_835.pdf
ERA Enrollment Instructions:https://apps.availity.com/availity/documents/77044_US_Dept_of_Labor_835.pdf
Additional Instructions:
77044_US DEPARTMENT OF LABOR_835_06092020.pdf
77044_US DEPARTMENT OF LABOR_835_06092020.pdf