Claims Services

Electronic Claim Payments Solution

As a provider, you now have the option of replacing paper-based claim payments with electronic (EFT or ACH) payments direct deposited into your bank account. Taking advantage of this free secure solution which allows quicker access to funds is a simple process that starts by clicking here.

To successfully authorize the use of Electronic Funds Transfer (or ACH) for the depositing of funds resulting from claims processed through the Insurance Service Center, providers, group practices and facilities must follow all steps listed below.

  • Complete Sections A, B and C of the EFT Enrollment Form.
  • All sections of this form must be completed in blue or black ink and in a complete and legible manner or the request will not be processed and will be returned.
  • The completed form may be mailed to:
    Mailing Address:      Insurance Service Center (EFT Enrollment)
                                    P.O. Box 13367
                                    Pensacola, FL 32591
  • Only one Tax ID number and one associated NPI is allowed per application form.
  • Only one bank account number is allowed per application form.

Instructions to update or cancel EFT Transactions can be found in the instruction form attached to the Enrollment sheet. A new enrollment for MUST be filled out for all changes.

WHAT TO EXPECT
Please allow a minimum of 4-6 weeks for your new request to be processed. Changes or cancellations will be approximately 2-4 weeks.

HOW TO CONTACT US
Call toll-free – 1-877-891-7796
e-mail us at EFTinfo.ig@capgemini.com

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 Claims Services


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