Edsedi.com

Health Partners of Minnesota

WEBERA Enrollment Instructions 01/08/2021 Health Partners of Minnesota Attention Providers: To start receiving ERAs from Health Partners of Minnesota through EDS, you will need …

Actived: 6 days ago

URL: https://www.edsedi.com/Docs/ERA/94267%20HealthPartners%20ERA%20Enr%20DXC.pdf

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DeCare Dental Health Insurance

WEBDeCare Dental Health Insurance . Payer ID: 07035 For Enrollment Questions: Enrollment Application: Electronic Remittance Advice (ERA/835 ) Request Form Upload, Email or …

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ERAEnrollmentInstructions Public Employees Health Program

WEBZip: Section 1- Transaction Selection (Check all P.O. Box)transactions that you want) Section 3-Provider Physical Address (No *Complete all Sections (1 to 6) Street: Dental …

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DXC Standards for Creating Documents

WEBAetna Better Health of West Virginia 128WV Aetna Dental Plans 60054 Aetna DMO – 68246 Aetna Medicare 60054 Bell Atlantic – 60054 Choice Plus – 60054 CustomCare …

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Medicaid of Louisiana EPSDT

WEBRevised 01/09. ENTITY / BUSINESS MEDICAID ELECTRONIC MEDIA LIMITED POWER OF ATTORNEY (EDI POWER OF ATTORNEY) This form is required by all providers …

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400 Vermillion Street Hastings, MN 55033 Ph 800-482-3518 …

WEB400 Vermillion Street Hastings, MN 55033 Ph 800-482-3518 Fax 651-389-9152 www.edsedi.com Page 1 of 1 7/7/2020 UNITED CONCORDIA DENTAL ELECTRONIC …

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Blue Cross Blue Shield of Utah

WEB6- Payer EDI Enrollment (Check allpayers that you want to bill) *Government Payers Require a Separate EDI Enrollment Chiropractic Health Plans (CHP) No enrollment …

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Medicaid of Wyoming

WEBClearinghouse Authorization Form Page 1 Revised: October 24, 2012 Wyoming Medicaid Clearinghouse Authorization Form Complete one form for each pay-to provider.

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DXC Standards for Creating Documents

WEB800.576.6412 17701 Cowan . Suite 250 . Irvine . California 92614 SelectHealth Attention Providers: In order to start receiving your ERAs for SelectHealth through EDS, you will …

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Medicaid of Iowa

WEB*if you think you have an account with Medicaid of Iowa please contact them 800-967-7902 to start your enrollment

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Guardian Life Insurance Co. of America

WEBEnrollment Application: Single Payer ERA Enrollment Form. Upload, Email or Fax Application to: Send completed forms to: [email protected] Fax 561-389-9152. …

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ERAEnrollmentInstructions

WEBECHO Health, Inc. 810 Sharon Drive Westlake, Ohio 44145 Phone: 440.835.3511 Fax: 440.835.5656 www.EchoHealthInc.com Provider Contact Name: _____

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400 Vermillion Street Hastings, MN 55033 Ph 800-482-3518 …

WEB400 Vermillion Street Hastings, MN 55033 Ph 800-482-3518 Fax 651-389-9152 www.edsedi.com Page 1 of 1 5/24/2018 Stone Eagle/V-Pay – Multiple Payers DENTAL …

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Payer Elig. List

WEBPayer Elig. List Payer ID Payer Name Type 52133 Dental Benefit Providers (Thiensville, WI) Benefit 52133 Dental Benefit Providers\United Health - Bethesda, MD,U Benefit

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Payer Claims List

WEBPayer Claims List Payer ID Payer Name Req. Enroll. NULL No 59069 21st Century Health (MedsavUSA)(NJ) No 74237 32 Dental (PO Box 9150, Austin, TX) Yes

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