Electronic Remittance Advice (ERA) Enrollment
Electronic Remittance Advice (ERA) transactions provide healthcare providers with information about claim payments, adjustments, and denials. To receive 835 (ERA) transactions from payers, you must enroll, and PNT Data can help.
Please use the following instruction to submit ERA Enrollments to PNT:
- Complete the enrollment form for the required payer.
- Return completed enrollment form to remits@pntdata.com and include the Payer Name in the subject line.
PNT will respond to your email with additional information once we complete the enrollment at PNT.
PNT CORE ERA Enrollment Form: Download
Payer Specific Enrollment Forms
Aetna: Download
CCIWI Instructions: Download
Cigna Dental: Download
Cigna Medical: Download
ConnectiCare/ConnectiCare Medicare: Download
Emblem: Download
Fidelis: Download
Health Partners MN: Download
Landmark: Download
MVP: Download
Oxford: Download
UHA:
UnitedHealthcare: Download
VA FSC ERA Enrollment Form: Download