EFT/ERA Authorization Agreement Instructions

The EFT/ERA Authorization web form and notification emails are currently offline for maintenance. To complete an authorization, please download the EFT-ERA Authorization Agreement and follow the instructions below that are most relevant to your needs. We appreciate your patience.

Instructions for completing the EFT/ERA Authorization Agreement can be downloaded below.

EFT-ERA Enrollment


Are you ready to enroll for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA)?

Enroll Now  Instructions

Billings and Claims