Electronic Funds Transfer (EFT) / Electronic Remittance Advice (ERA)
ERA and EFT enrollment forms have changed. Enroll by downloading the paper forms or enroll electronically by visiting our Secure Web Portal (log in)
For ERA or EFT enrollment, please call with any questions or to check enrollment status.
Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant)
Medicaid STAR Kids 1-844-STRKIDS (1-844-787-5437)
CHIP or CHIP Perinate 1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant)
Aetna Better Health offers both Electronic Funds Transfer (EFT) and Electronic Remittance Advice to providers upon request. Aetna Better Health offers providers free use of the Emdeon payment manager software. For more information, call 1-866-506-2830 and select option 1. Providers must specify that they are an Aetna Medicaid provider in order to receive payment manager without charge.
To receive payments electronically, complete the EFT Authorization Enrollment forms. You must complete both forms. Follow the submission instructions included on the forms.
When filling out these forms do the following:
- Submit one enrollment form per Tax ID
- Include your NPI #
- Attach a voided check or bank letter
- Obtain signatures by two authorized individuals:
- A provider executive– MD, CFO, CEO, etc.
- A supervisor-level authorized office or billing manager
- Complete all sections marked with an asterisk, and then fax the form to 1-855-596-8401.
On the EFT form, include each billing provider’s NPI that is to be set-up for electronic funds transfer.
On the ERA form, contact your electronic claims vendor to obtain the information needed to complete sections 2 and 3.
Allow 10-15 business days for processing.