Accessing the Electronic Remittance Advice Form

You can use the Electronic Remittance Advice (ERA) form to set up paperless EOB statements.

To sign up for, or access, the ERA form:

From the menu's Electronic Funds Transfer panel, click the Launch button.

If you have not yet submitted ERA data, the full ERA form will display. Refer to Entering Electronic Remittance Advice Form Data for details on using the form.

Note: If you have previously submitted ERA data, clicking the Electronic Remittance Advice link from the menu will instead display the "Electronic Remittance Advice Updates" screen. Refer to Updating Electronic Remittance Advice Form Data for details on updating your information.

A Note to Providers with Multiple TINs

If you are a provider with more than one Tax ID Number (TIN), you can set up ERA separately for each TIN. You can then subsequently sign in using the Username and Password associated with each TIN.

To create another Username and Password:

Access the normal provider sign in page via your web browser application, but do not sign in. Instead click the Create a username and password link shown below. Complete the registration fields that appear to register another TIN.

Note: If you have any questions about whether your TIN is properly associated with your account, call Professional Services at 1-866-947-9398.