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Missing ERA

Are you missing an ERA?  If your practice normally receives electronic EOBs into ...
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ERA Setup Form - All Companies

The ERA Setup Form Click to download and complete the ERA setup form EFT / direct...
Forms

CEDI (DMERC) Recertification

Recertification for Medicare DMERC:  This is an annual recertification. Click her...
1 votes
Forms

Staff Registration Form

In order to maintain compliance with Privacy and Security rules, we need to updat...
2 votes
Forms

How can I adjust the red HCFA form alignment?

Go to claim correction/Reprints Select a claim for Reprint On the menu bar at the...
1 votes
Forms

Sammy Provider Registration Form

Complete this Registration Form when one or more of the following applies: I have...
4 votes
Forms

How can I send MDOL electronically?

Please complete the form below and fax to:  516-632-7078 MDOL Electronic Signup F...
2 votes
Forms

New Client Setup Forms

We are so happy you have decided to move forward with Sammy.  The below forms are...
Forms

How can I adjust the B & W HCFA form alignment?

Go to claim correction/Reprints Select a claim for Reprint On the menu bar at the...
Forms
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