1. Click on the link below or call PaySpan Customer Service to request a Registration Code (You will be issued a Registration Code along with a PIN Number for that code):
   • https://www.payspanhealth.com/RequestRegCode
   • Call (877) 331-7154 Option 1

1. When you receive your registration code, go to [www.payspanhealth.com](https://www.payspanhealth.com)

1. Click the Register Now button

1. Enter your registration code and click Submit

1. Enter your PIN, Tax ID and NPI and click Start Registration

1. Fill out the basic contact and account information and click Next

1. Enter an Account Name

1. IMPORTANT: Under *Enveloping Format* you MUST select Payer Plan ID

1. Check the *Request Paper Remittance* box only if you wish to receive paper as well

1. If you do not want Electronic Payments (EFT), remove the check mark in the *Enable Electronic payment* box by clicking on it and then click Next and proceed to Step 12

1. If you do want EFT, complete the Financial Institution information and then click Next

1. Verify your information, then read the Services Agreement and check the box that you agree to it, click Confirm

If EFT was requested, you will receive a deposit of less than one dollar from PaySpan within a few business days.

1. Access your bank account online or contact your bank to obtain the amount of the test deposit from PaySpan

1. Log into PaySpan

1. Click Your payments

1. Click Account Verification link on the left side of the screen

1. Enter the amount of the deposit you received in this format: `0.00`

Note: The deposit does not need to be returned to PaySpan.

1. Select Your Payments

1. Under Manage click Accounts

1. Click the Account Name

1. Click Mailbox Settings

1. Click Create Mailbox

1. Click Close

1. On the Edit Account page, click Delivery Settings

1. Select Availity-RealMed from the drop down under the 835 Recipient Column

1. Click Save

1. Click Close

1. Click Save on the Edit Account page

Please send an email to your account manager to let them know ERA’s have been completed. Include the payer name and number in the email.