First Step to filling out the Medicaid Electronic or PDF Remittance Advice Request Forms (ERA) is to apply for an ETIN number. Click on ETIN Request Form and fill out notarize and mail to Computer Sciences Corporation.
Second Step is once the ETIN has been received, to contact with Medicaid at (800) 343-9000 and apply for an ePACES account.
The Final Step is to fill out the Electronic or PDF Remittance Advice Request Form and send it to Medicaid.
Second Step is once the ETIN has been received, to contact with Medicaid at (800) 343-9000 and apply for an ePACES account.
The Final Step is to fill out the Electronic or PDF Remittance Advice Request Form and send it to Medicaid.
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