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:
Pre-Enrollment is required for Electronic Remittance Advice. Payer ERA Enrollment Form
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:
Pre-Enrollment is required for Electronic Remittance Advice. Payer ERA Enrollment Form
Additional Instructions:
CHP01_COMPLEMENTARY HEALTHCARE PLAN_835.10012020.pdf
CHP01_COMPLEMENTARY HEALTHCARE PLAN_835.10012020.pdf