This agreement is only needed if the ERA is going to be received or retrieved by an entity other than the practice.
This document is hosted externally.
Unless the owner has removed it from the web, you can access the full document via its original URL:
https://humboldtipa.com/forms/TPAAgreement-Fillable.pdfUnless the owner has removed it from the web, you can access the full document via its original URL:
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