US · guidance

CMS Pub. 100-04, ch. 22, § 80.4

ERA Enrollment Form

activein force · 2026-08-25 – presentas-observed

The CAQH CORE mandated operating rules establish standards for the enrollment of

providers to ERA programs. The rule mandates the required data elements and the order

in which they appear on the ERA enrollment forms. The rule also mandates acceptable

EFT enrollment submission formats.

A complete list of required data elements and submission formats are available at

http://www.caqh.org/Host/CORE/EFT-ERA/ERA_Enrollment_Data_Rule.pdf

History

(Rev. 3288, Issued: 07-02-15, Effective: 08-03-15, Implementation: 08-03-15)

Provenance

Source: cms.gov
Retrieved: 2026-08-25
Edition: iom-2026-08-25
Content hash: ec8e21f2eb90a45ff6ff0cdbdd44d35eb039de0df2e7c1beebb37325b2e4f48d

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