835/ERA Enrollment Form (5 minutes)
Add Specialties (5 minutes)
Add Specialties (5 minutes)
Add Provider Controlling Interest/Ownership Details (10 minutes)
Add Provider Controlling Interest/Ownership Details (10 minutes)
Add License and Certifications (4 minutes)
Add License and Certifications (4 minutes)
Add Taxonomy Details (4 minutes)
Add Taxonomy Details (4 minutes)
Add Additional Information (5 minutes)
Add Additional Information (5 minutes)
Add Mode of Claim Submission (6 minutes)
Add Mode of Claim Submission (6 minutes)
Upload Documents (4 minutes)
Upload Documents (4 minutes)
Submit Enrollment Application (2 minutes)
Submit Enrollment Application (2 minutes)
Overview: Enrolling as a Facility Agency Organization Provider (7 minutes)
Overview: Enrolling as a Facility Agency Organization Provider (7 minutes)