ERA Consent Form - eProvider Solutions

Testimonial:

“I find it amazing in this day of lost customer service skills to find an organization so totally dedicated to providing just that.” Barb M. Business Office Team Leader

AVERA Health Plans

By filling out the form, the Avera Health Plans provider gives consent to receive Electronic Remittance Advices (835s).
If you have any questions, please contact Network Services at 1 (888) 322‐2115.

DAKOTACARE

By filling out the form, the DakotaCare provider gives consent to receive Electronic Remittance Advices (835s).
If you have any questions, please contact 1 (800) 325‐5598.

Provider Enrollment For

Dakotacare

Avera

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