Common Contracts
1 similar Electronic Remittance Advice contracts
Electronic Remittance Advice (ERA) EDI Agreement (Form EDI-801)Electronic Remittance Advice • October 24th, 2018
All New Jersey Medicaid and Charity Care Providers desiring to receive a HIPAA formatted electronic remittance advice (ERA) must complete a New Jersey Medicaid Electronic Remittance Advice EDI Agreement. The New Jersey Medicaid HIPAA EDI Agreements and instructions for their completion are provided later in this section. The Electronic Remittance Advice EDI Agreement must be prior approved and on file with DXC Technology before an ERA will be made available to the submitter that has been designated by the requesting provider. DXC Technology will notify the EDI Submitter of New Jersey Medicaid’s approval for the submitter to receive the ERA.
