Requests for Duplicate Remittance Advice (RA) Statements

Fall 2020

Neighborhood providers or contracted billing staff may apply for access to receive duplicate remittance advice (RA) statements by completing the Application to Request Duplicate Remittance Advice (RA) Statements.  Simply download the form to your computer, enter the required information, and return securely via email to .  After the simple process is complete, will then be able to access RA statements 24/7!