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 jburkett@humboldtipa.com.

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 jburkett@humboldtipa.com.

Use the following links to access enrollment forms:

EFT Enrollment Form

ERA Enrollment Form

Payee Vendor Agreement