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ERA PRACTICE SETUP
ERA - Practice Setup
Clear Form
Practice Name as it appears in Tebra:
*
The Practice Name entered here must match EXACTLY what is in Tebra in order for data to be retrieved from Tebra.
Tebra ID (KID)
Who should receive Communication Emails? (separate multiple emails with a semi-colon):
*
Select Payment Methods to Automatically Post:
ACH
BOP
CHK
NON
Any Payment Method selected will cause the ERA to be automatically posted by the System.
Earliest Start Date
This should be the date that you would like us to begin processing.
If you changed an existing Practice, please provide a brief description of what was changed. Example: "Changed Payment Methods."
Date to terminate
Portal ID
If you are human, leave this field blank.
Submit
Existing ERA Practices
Edit:
Tri-Lakes Family Care