Contact Us
Home Provider Health Care Reform for Providers
» Working with
» News
» Blue Card
» Claims and Payment
» Medical Policies and Authorizations
» Health Management
» Medical, Dental, and Pharmacy
» Credentialing and Contracting
» Quality and Transparency
» Communications and Resources
» Health Care Reform for Providers
printer friendly Printer-Friendly Page
EFT and ERA enrollment just got easier

New forms now available

To comply with the Affordable Care Act (ACA), new Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA) enrollment forms have been created and are accessible on the secure provider page at The new electronic forms allow providers to quickly and easily complete and submit requests for EFT and ERA enrollment.


Be sure to contact your financial institution(s) to make certain they are aware of the CAQH CORE (Council for Affordable Quality Healthcare, Committee on Operating Rules for Information Exchange) EFT and ERA operating rules.


The appropriate arrangements will need to be made between your facility and your financial institution to accommodate the delivery of the CORE required minimum CCD+ (Cash Concentration or Disbursement including an addendum record) Data Elements necessary for reassociation of the EFT payment with the ERA. CAQH CORE has developed a sample letter for providers to use when reaching out to their financial institutions. Visit for more information about reassociation. 


Note: As result of the new Web-based ERA enrollment form, the Electronic Transaction Registration Packet has been modified.

Register now


I need secure access to:

Tools and resources related to:

  • Claims
  • Payment
  • Benefits
  • Utilization Management

Take me there.


E-credentialing Central to access these tools:

  • Application Tool (coming soon)
  • Change Request Tool
  • Recredentialing Tool
  • Provider Directory Update Tool (coming soon)
  • Submission Status Tracker
  • Submission History Tool
  • View my Organization
  • Manage my Users

Take me there.

Learn More Providers Employer Groups Agents/Brokers


»   Give feedback on this site open new window image
FacebookTwitterInstagrampinterestLinked InYou Tube