Text

Electronic remittance advice enrollment

Text

ERA form

Please complete and submit this form to receive electronic remittance advice for Monarch HealthCare, Monarch Health Plan and Memorial HealthCare IPA. FAX number and mailing address are on the form. 

Upon enrollment processing, you will receive both paper explanation of payment and electronic remittance advice (ERA) for 30 calendar days, after which time you will receive only ERA.

Submitting claims to Monarch

Claims may be sent electronically in a 837 format. They must be placed on a secure FTP site set up by Monarch. We do not charge the provider for this service. When the file is received, we send an acknowledgement to the SFTP site that day.  

We suggest using these contracted clearinghouses:

Office Ally                   1-866-575-4120 *3
Change Healthcare   1-800-331-9117 *1
Trizetto                       1-800-969-3666 *3

Download form