Do you want to receive electronic claims payments faster than mailing paper checks for free?
There are three easy steps for EFT Enrollment:
- Fill in the attached EFT Authorization Agreement form.
- Return the completed form with a scanned or faxed copy of a voided check from your financial institution.
- Send the form and voided check to [email protected] or fax 262-721-0722.
To receive ERAs, please submit the following form to [email protected] or fax 262-721-0722.