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Printed Date: 9/22/2015
Palmetto GBA Medicare Electronic Data Interchange (EDI) is pleased to offer an online form for the restoration of electronic remittance notices/advices (ERNs/ERAs) and GPNet Response Reports (999 & 277CA).
ERNs/ERAs and GPNet Response Reports are available for restore 20 business days prior to today’s date. Remit files and reports will be restored to your electronic submitter mailbox. The requestor will receive a confirmation by email.
Note: If you receive your Response Reports and/or Remit files from a clearinghouse, please confer with them prior to completing a request. Restorations will include all providers linked to the requested Submitter/Receiver ID.
Please complete all fields in the attached form. Incomplete forms will not be processed.The form fields are described below:
Click on arrow and select Restore Option ERNS or Reports
Do not attempt to combine GPNet Response Report requests and ERN/ERA requests. They should be separate requests.
Access the Online ERA Report Restore Form.
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Last Updated: 09/19/2019