Provider EFT/ERA Enrollment
Welcome to our provider enrollment process for EFT/ERA enrollments, supported by ECHO Health. ECHO Health serves as our healthcare payment consolidator and provides support for our EFT/ERA process.
To initiate the enrollment process, please validate your account on the next page by clicking the link below and then completing the electronic form. When finished with the enrollment form please click on the “Submit Secure” button near the bottom of the form. This will transmit the form information safely and securely to ECHO Health to begin your enrollment process.
To begin the enrollment process.
How does it work?
- Please complete the EFT/ERA enrollment form.
- Please make sure you have an ECHO Health draft number and payment amount so we can validate your enrollment request. The draft and payment amount must reflect a payment from the payer associated with this EFT/ ERA enrollment. A draft number is listed as the EPC draft # on ECHO Health explanation of payments. If you do not have an ECHO draft number available please dial 440.835.3511.
- ECHO Health supports both NPI and TIN level enrollment. You will be prompted to select the option that you would like to use during the enrollment process.
- If you need assistance, contact ECHO Health at [email protected] or 440.835.3511.