This agreement is only needed if the ERA is going to be received or retrieved by an entity other than the practice. This agreement should be completed by the vendor the practice uses to process their Electronic Remittance Advice (ERA) and not by the...
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https://humboldtipa.com/forms/Payee%20Vendor%20Agreement-Fillable.pdfUnless the owner has removed it from the web, you can access the full document via its original URL:
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