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Electronic Mailing Lists

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Complete and return the "Electronic Remittance Advice (ERA) Enrollment Form" (Form 8262). Please print the form from the link below.

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ERA Enrollment Form (8262)

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Additional forms are needed if you are a first time EDI biller or if you would like to make changes to your existing EDI setup.

An additional form is also needed if you would like to enroll for PC-ACE Pro32™.

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