Department of Health and Human Services - State of Nebraska 5010 NEBRASKA MEDICAID TRADING PARTNER AUTHORIZATION AND ENROLLMENT for Electronic Remittance Advice (ERA) 835 Transaction Form READ INSTRUCTIONS “HERE” BEF - Electronic trading - Document - PDFSEARCH.IO

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	Department of Health and Human Services - State of Nebraska 5010 NEBRASKA MEDICAID TRADING PARTNER AUTHORIZATION AND ENROLLMENT for Electronic Remittance Advice (ERA) 835 Transaction Form READ INSTRUCTIONS “HERE” BEF Add to Reading List Document Date: 2014-06-25 12:52:50 Open Document File Size: 159,29 KB Share Result on Facebook City Partner / Form / / Company Nebraska Medicaid / / / / Organization Department of Health and Human Services / Department of Health and Human Services Phone / IDENTIFIERS Assigning Authority / / Person Medicaid Providers / / / ProvinceOrState Nebraska / / SocialTag Electronic remittance advice Health Insurance Portability and Accountability Act Identifiers National Provider Identifier Medicaid

Department of Health and Human Services - State of Nebraska 5010 NEBRASKA MEDICAID TRADING PARTNER AUTHORIZATION AND ENROLLMENT for Electronic Remittance Advice (ERA) 835 Transaction Form READ INSTRUCTIONS “HERE” BEFAdd to Reading List