The Humboldt Independent Practice Association (IPA) now requires their providers enroll to receive their payments and remittance electronically. There is no charge for this service and electronic payments will speed up reimbursement. If you are not currently enrolled to receive Electronic Remittance Advice (ERA) and/or Electronic Funds Transfer (electronic payments/EFT) please complete the enrollment forms listed below and submit them to Joseph Burkett at firstname.lastname@example.org.
Thank you for your attention to this matter. If you have any questions or concerns, please contact Joseph Burkett at 707.443.4563 ext. 127 or email@example.com.
Use the following links to access enrollment forms: