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: N09591
Type of Submitter: Clearinghouse
Submitter ID Entity Name: RealMed Corporation
EDI Contact Person: Payer Enrollment
Submitter Phone #: 877-927-8000
Submitter E-Mail: edienrollment@availity.com
Submitter Fax #: 317-580-0027
Submitter Address: 510 E. 96th Street, Suite 400
City: Indianapolis
State: IN
Zip: 46240
Additional Instructions:
15202_MEDICARE OHIO_835.837P.072022.pdf
15202_MEDICARE OHIO_835.837P.072022.pdf