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.
Electronic Remittance Advice (ERA) Authorization AgreementElectronic Remittance Advice • October 9th, 2012
Providers and clearinghouses, complete the ERA form by logging on to www.enshealth.com. If you need assistance with your OptumInsight user name or password, please call
Electronic Remittance Advice (ERA) Authorization AgreementElectronic Remittance Advice • October 9th, 2012
Providers and clearinghouses, complete the ERA form by logging on to www.enshealth.com. If you need assistance with your OptumInsight user name or password, please call
Electronic Remittance Advice (ERA) Authorization AgreementElectronic Remittance Advice • December 11th, 2013
In order to start receiving your ERAs DeCare - Horizon Blue Cross Blue Shield (Commercial) through EDS, you will need to complete the attached ERA Application.
