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Remittance Enrollment Guide for MEDICARE DMERC REGION B

MEDICARE DMERC REGION B (24028)

What is a Remittance?

A remittance, or Electronic Remittance Advice (ERA), is a digital explanation of payments and adjustments sent from a health plan to a provider after a claim is processed. It details what was paid, denied, or adjusted, and why. Remittances are essential for reconciling payments and understanding claim outcomes.

Why Choose Electronic Remittance?

  • Faster Payments: Receive payment details instantly, without waiting for paper mail.
  • Fewer Errors: Reduce manual data entry and avoid lost or misfiled paper EOBs.
  • Easier Reconciliation: Quickly match payments to claims in your billing system.
  • Better Security: Electronic delivery is more secure and private than paper mail.
  • Eco-Friendly: Cut down on paper waste and storage needs.

Tip: Most providers find that switching to electronic remittance improves office workflow and speeds up revenue cycle management.

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!
Contact Us
Enrollment Instructions:
New Electronic Providers (Form 1 and 3 required) on CEDI Enrollment Agreement and CEDI Supplier Auth Form. Existing Electronic Enrolled Providers (Form 3 only) on CEDI Supplier Auth Form.
Form 1 - Complete the Submitter Information as follows: Submitter Status: Existing Submitter, Region B Submitter ID C08495979, Region C Submitter ID C08495979, Region D Submitter ID D08607230, Submitter Name: Availity LLC, Submitter Type: Clearinghouse.
Form 3: Complete the Submitter and/or Receiver Information as follows: Entity Name - Availity LLC, Operating as a - Clearinghouse, Region B Submitter ID C08495979, Region C Submitter ID C08495979, Region D Submitter ID D08607230 Address - 740 E Campbell Rd, Ste 1000, Richardson, TX 75081, Contact Name - Availity Client Services, Contact Phone Number - 800.282.4548, Contact Email: enrollments@availity.com.
Ordering provider name and number are required on every service line. The information must go in Loop 2420E, NM109.
Form 1: CEDI_Enrollment_AgreementForm 3: CEDI_Supplier_Auth_Form
Additional Instructions:
DMERC_ALL_837835.032024.pdf
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