Common Contracts
1 similar null contracts
Health Net of California Electronic Remittance Advice (ERA) Authorization AgreementJanuary 7th, 2015
This authorization is to remain in effect until written notice in the form of an ERA Authorization Agreement form marked as a cancellation or change form is submitted to Health Net. Any changes to the providers agent, clearinghouse or vendor must be submitted on an ERA Authorization Agreement form as a change. The termination or change shall be effective 20 days subsequent to Health Net's receipt of the updated form.
