Electronic Funds Transfer, or EFT, is a free and secure way to receive health-care payments more quickly
and without risk. And EFT enrollment also eliminates significant challenges and allows funds
to be transferred directly to your financial institution without the need for you to cash or deposit a
But keep in mind that enrolling in EFT does not change our overpayment policies and procedures. If
you’re overpaid, we’ll send you a letter asking for a refund by check or automatic take-back.
You must include a copy of a pre-printed voided check or bank letter. We will not accept deposit
slips and starter checks. You must also attach scanned copies to the application form.
We cannot process your enrollment without this information.
If you want to use EFT, you must enroll using this electronic application! EFT is not available otherwise.
To begin using EFT, choose one of the following enrollment options.
Type of Provider:
Note: The provider must contact his or her financial institution to arrange for the delivery of the CORE
required minimum CCD+ data elements needed for reassociation of payment and the ERA. See Phase III CORE
Rule 370 EFT & ERA Reassociation (CCD+/835) Rule Version 3.0.0