UPDATED 06/05/17

Updating your EFT/ERA – Provider Web Portal Quick Guide We will use the EFT/ERA information from revalidation or enrollment, but if your EFT/ERA information has changed since your enrollment, you’ll need to update.

1. Login to Provider Web Portal 2. Click EFT/ERA Enrollment link

Note: You only need to complete an EFT or ERA Enrollment Application if your EFT/ERA information has changed since enrollment or revalidation.

3. Click EFT Enrollment Application link or ERA Enrollment Application link

Page 1 of 7

UPDATING YOUR EFT OR ERA

PROVIDER WEB PORTAL QUICK GUIDE

4. Click Continue Important: You will get paper checks for two weeks after submitting an EFT change, so make sure your mailing and billing address are up to date before submitting an EFT change.

5. Complete all required fields and click Continue

Page 2 of 7

UPDATING YOUR EFT OR ERA

PROVIDER WEB PORTAL QUICK GUIDE

6. Attach either a voided check or a bank letter Bank letter must be dated within the past 6 months.

Click Continue.

Page 3 of 7

UPDATING YOUR EFT OR ERA

PROVIDER WEB PORTAL QUICK GUIDE

7. Sign the Agreement Type your name into the signature box and click Review.

Print a copy for your records and then click Submit.

Page 4 of 7

UPDATING YOUR EFT OR ERA

PROVIDER WEB PORTAL QUICK GUIDE

Create a password and answer the challenge questions, then press Submit. You will need this password to check the status of your EFT/ERA application.

Record your EFT/ERA Application Tracking Number, you will need it to check the status of your EFT/ERA application. Your new EFT or ERA information should go into effect within two weeks. If you changed your EFT information, you will receive paper checks for the next two weeks.

Note: If you changed your EFT information, you will receive paper checks for the next two weeks.

Page 5 of 7

UPDATING YOUR EFT OR ERA

PROVIDER WEB PORTAL QUICK GUIDE

Need More Help? Other Provider Web Portal Quick Guides: Aid Code and Benefit Plan Acronyms Are you Billing from the Correct Account? Copy, Adjust, or Void a Claim Delegates Delegate Access Definitions Pulling your 835 – linking to your own TPID Pulling your Remittance Advice (RA) Provider Maintenance Reading your Remittance Advice (RA) Updating your EFT/ERA Information Validating a Trading Partner ID (TPID) Verifying Member Eligibility, including: ● Managed Care Assignments ● Primary Care Provider ● Medicare Coverage ● Member Co-pay amounts Web Portal Registration

Provider Web Portal – Frequently Asked Questions (FAQs) Please visit our Provider Web Portal information page at: Colorado.gov/HCPF/web-portal

Provider Web Portal – Recorded Webinars Click the links below to access the recorded webinars: Session #1

Access the new Portal, Portal Registration, Log in, My Profile, Manage Accounts (including delegates)

Session #2

Provider Maintenance (including updates and affiliations), EFT/ERA Enrollment, Disenroll

Session #3

Member Information and Eligibility Verification

Session #4

Remittance Advice (RA), Search Payment History, Search for Accounts Receivable Records, Make a Payment

Session #5

Notify Me, Alerts, Secure Correspondence

Session #6

Files Exchange, Resources

Session #7

Search & Submit CMS 1500, UB-04, Emergency Dental Claims, Prior Authorizations (Nursing Facility PETI PARs only) Page 6 of 7

UPDATING YOUR EFT OR ERA

Bridge

PROVIDER WEB PORTAL QUICK GUIDE

Bridge training for Community Centered Boards (CCBs) only

Page 7 of 7

Updating EFT or ERA.pdf

There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Updating EFT or ...

888KB Sizes 0 Downloads 194 Views

Recommend Documents

EFT authorization2018.pdf
Page 1 of 1. AUTHORIZATION FOR ELECTRONIC FUNDS TRANSFER (EFT) 2018. I hereby authorize the First Presbyterian Church, Corvallis, Oregon, to transfer. FOR THE GENERAL FUND BUDGET 2018 $______ directly from my __ checking account/. __ savings account

Updating Contact Information.pdf
Jun 5, 2017 - Network Participation. ○ Disclosure information. ○ ACC opt-in changes. 1. Login to Provider Web Portal. 2. Click Provider Maintenance.

EFT Online Literacy Support Resources.pdf
EFT Online Literacy Support Resources.pdf. EFT Online Literacy Support Resources.pdf. Open. Extract. Open with. Sign In. Main menu.

Updating Affiliations.pdf
Page 1 of 17. UPDATED 03/12/17. Page 1 of 17. Provider Maintenance - Provider Web Portal Cheat Sheet: Individual within a Group Provider Maintenance .

Regular updating - Springer Link
Published online: 27 February 2010. © Springer ... updating process, and identify the classes of (convex and strictly positive) capacities that satisfy these ... available information in situations of uncertainty (statistical perspective) and (ii) r

Updating your ePortfolio
Showcase your works here. All your hard work should not go to waste! It can be an art prep work, a picture of your completed artifact, your recipe and cooking etc. Write about your achievements here. Start young and collect your stories. More importa

Date of EFT Transfer
West Virginia Units Below Wing Level - Check Request Form. SQUADRON NAME: ... (Squadron Finance Officer or Squadron Commander). Finance Committee ...

Updating Student information in iParent.pdf
One other ethnicity. Residential Address. Mailing Address. Phone Numbers – These are the phone numbers that will be used by the. School Messenger System.

Updating Beliefs With Causal Models
Gordon was developing Markov models of memory processes before the field was old enough to say “rehearsal buffer.” Indeed, as a new student of Gordon's, ...

Impact of the updating scheme
May 21, 2008 - 2 Department of Physics, Korea Advanced Institute of Science and Technology,. Daejeon ... Online at stacks.iop.org/JPhysA/41/224010. Abstract ..... when we vary the degree of asynchronous update as parameterized by p.

Updating Student information in iParent.pdf
... a request to have the information updated. through the school secretary. You can update the following information: Personal Information: Title. First Name.

Location Proof Updating System with Collusion ...
These applications are location-sensitive since location proof plays a critical role in ... Location proof server: As our goal is not only to monitor real-time locations, ...

An Adaptive Updating Protocol for Reducing Moving ...
accurately, the server is allowed to probe the latest status of some ... For example, a linear model with object's location and velocity can be used to ...... we argue that the prediction is meaningful only on a close future. In summary, our STSR ...

Updating KASEPF details in GAIN PFWebsite.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Updating ...

Consistent updating of social welfare functions
ten of the kind and busy ants came out and carried the poor grasshopper into their house. ...... random utility profiles for group J conditional on E. Let {Et} be the ...