Answer: Yes, you must:
- Receive an Electronic Remittance Advice (ERA) 835*
- National Provider Identifier (NPI) - Billing NPI
- Provider Federal Tax Identification Number (TIN)
- Reason for Submission: New/Change/Cancel Enrollment
- Requested EFT Start/Change/Cancel Date
- Practice/Provider Name
- Financial Institution Information (including Financial Institution Name, Financial Institution Routing Number, Type of Account (Checking/Savings), Provider's Account Number
Contact your financial institution and arrange for the delivery of the CORE-Required minimum CCD+ Data Elements. This assures successful reassociation for EFT payment with ERA remittance.
*Note: If you are not currently receiving an ERA-835, contact your clearinghouse to set this up.