Emanate Health IPA User Manual

Emanate Health IPA

PCP Provider Manual 2020

Emanate Health IPA

PCP Provider Manual 2020

Electronic Remittance Advice (ERA)

1. PURPOSE:
a. To effectively enroll eligible providers requesting to receive electronic

remittance advice (ERA/835) files from NETWORK MEDICAL MANAGEMENT.

2. POLICY:
a. It is the policy of NETWORK MEDICAL MANAGEMENT to provide eligible

providers the means of receiving electronic remittance advice in lieu of paper.
NETWORK MEDICAL MANAGEMENT has a standard procedure that is
followed through to ensure provider registrations for ERAs are processed in a
timely manner.

b. The ERA registrations are completed for eligible Providers no later than eighteen

(18) business days upon receiving a fully completed ERA Enrollment form.

3. PROCEDURE:
a. Eligible providers will submit via email a fully completed ERA Enrollment form to

[e-mail]

b. All information provided from the submitted ERA Enrollment Form will be verified

by the Provider Network Operations department. Any discrepancies in the form
will be relayed back for corrections to the contact name provided from the
enrollment form. Upon complete verification, submitted ERA Enrollment form will
then be forwarded via email to [e-mail] with the subject line
of ERA Registration.

c. Testing Phases:

i. Encounter team will coordinate with Rule meister and clearing house for

first phase testing.

ii. Once ERA testing has passed with the clearing house, second phase of

testing will be performed with requesting provider.

iii. Upon successful testing with provider, ERA will be moved into production.

d. Changes and updates to this policy and procedure will be made on an as-

needed basis

e. Network Medical Management ERA Enrollment Form