Common use of Electronic Remittance Advice Clause in Contracts

Electronic Remittance Advice. (“ERA”) means a document containing information pertaining to the disposition of a specific claim for payment of services or supplies rendered to an Individual that a Provider files with DHS on the Individual’s behalf. The documents include, without limitation, information such as the Provider name and address, Individual’s name, date of service, amount billed, amount paid, whether the claim is approved or denied, and if denied, the reason for the denial.

Appears in 2 contracts

Samples: Electronic Trading Partner Agreement, Electronic Trading Partner Agreement

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Electronic Remittance Advice. (“ERA”) means a document A transaction containing information pertaining to the disposition of a specific claim field with DMH by Providers for payment of services or supplies rendered to an Individual that a Provider files with DHS on the Individual’s behalf. The documents include, without limitation, information such as the Provider name and address, Individual’s name, date of service, amount billed, amount paid, whether the claim is approved or denied, and if denied, the reason for the denial.

Appears in 1 contract

Samples: Trading Partner Agreement

Electronic Remittance Advice. (“ERA”) means a document containing information pertaining to the disposition of a specific claim for payment of services or supplies rendered to an Individual that a Provider files with DHS on the Individual’s behalf. The documents include, without limitation, information such as the Provider name and address, Individual’s name, date of service, amount billed, amount paid, whether the claim is approved or denied, and if denied, the reason for the denial.

Appears in 1 contract

Samples: Electronic Trading Partner Agreement

Electronic Remittance Advice. (“ERA”) means a document containing information pertaining to the disposition of a specific claim for payment of services or supplies rendered to an Individual that a Provider files with DHS BCBSWY on the Individual’s behalf. The documents include, without limitation, information such as the Provider name and address, Individual’s name, date dates of service, amount billed, amount paid, whether the claim is approved or denied, and if denied, the reason for the denial.

Appears in 1 contract

Samples: Electronic Trading Partner Agreement

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Electronic Remittance Advice. (“ERA”) means a ). A document containing information pertaining to the disposition of a specific claim for payment of services or supplies prescription rendered to an Individuals which are filed with DMH on behalf of the Individual that a Provider files with DHS on the Individual’s behalfby Providers. The documents include, without limitation, ERA includes information such as the Provider name and address, Individual’s Individual name, date of service, amount billed, amount paid, whether the claim is was approved or denied, and if denied, denied the specific reason for the denial.

Appears in 1 contract

Samples: Electronic Trading Partner Agreement

Electronic Remittance Advice. (“ERA”) means a document containing information pertaining to the disposition of a specific claim for payment of services or supplies rendered to an Individual that a Provider or Supplier files with DHS PGBA, LLC on the Individual’s behalf. The documents include, without limitation, information such as the Provider or Supplier name and address, Individual’s name, date of service, amount billed, amount paid, whether the claim is approved or denied, and if denied, the reason for the denial.

Appears in 1 contract

Samples: Electronic Trading Partner Agreement

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