Transcription of ECHO Electronic Remittance Advice ERA 835
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ECHO Electronic Remittance Advice ERA 835
Payer: Per the payer list 2020-08-18 ECHO Electronic Remittance Advice ERA 835 ERA Enrollment Instructions: Please save this document to your computer. Open the file and type directly onto the form. Complete the form using the provider s billing/group information as credentialed with this payer. EDI enrollment applies to ERA only and is not necessary prior to sending claims. Once completed, save for your records, print and obtain appropriate signature(s). EDI enrollment processing timeframe is approximately 30-45 business days. To check status of EDI enrollment, please contact ECHO at 440-835-3511. 835 Electronic Remittance Advice : ECHO ANSI 835 Enrollment Form Complete the form as appropriate.
Affinity Health Plan Cus tom De sign Be nefits Af finity Medicare & Medic aid Advantage Delan o Region al Medical Grou p Div ersified Group Administrat io n AllCar e EBC, Inc. EBS O Inc. - Expe rt Benefit Se rvic es Al lways Hea lth Partners Empl oyee Benefit Consultants AltaMed Employee Benefit Services, Inc. (EBSI)
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