Electronic Remittance Advice and Funds Transfer

Health Net has further streamlined our business processes to improve claims procedures. Providers can now register to receive electronic Remittance Advices (RA). These features streamline claim processing, reduce administrative work and improve provider satisfaction by reducing claims-related problems.

ERA files give providers details regarding multiple claims. ERA improves providers' business office workflow by allowing the adjudicated claim information to be automatically posted to accounts receivable systems. Health Net will send an ERA to any provider who registers with a clearinghouse. ERA is available in all Health Net service areas.

EFT automates the distribution of funds into providers' accounts using Automated Clearinghouse (ACH) processing. EFT is the electronic mechanism used to instruct Depository Financial Institutions (DFIs) to move money from one account to another. Many formats are available for the actual data in the electronic message, and different formats apply at each stage. EFT is safe, secure, efficient, and less expensive than paper check payments and collections. This service is presently offered in Arizona, Connecticut, New Jersey and New York.

If you're interested in receiving EFT and you're not currently set up to receive ERA; Health Net has partnered with Bank of America (BofA) to help give you a solution. BofA will forward the EFT along your bank, and the ERA will be available via BofA's global advice product or a Health Net approved clearinghouse. If you're already receiving ERA and request an EFT, please complete an EFT registration form.

In order to be eligible to sign up for the EFT service, you must also register for ERA. Contact Health Net's Electronic Data Interchange (EDI) team or download the enrollment forms to register for these new features.

Please contact the Health Net Provider Call Units regarding all Claim adjudication issues regardless of submission method.

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