Skip to Main Content

EFT Enrollment

The Change Healthcare EFT service enables customers to have payments from EFT participating payers deposited electronically into their bank accounts at no cost.


EFT Participating Payers - A listing of EFT participating payers

EFT FAQs - Frequently asked questions regarding EFT


New Provider

EPayment Enrollment Authorization – Initial EFT enrollment


Existing Provider

EFT Contact Request Form – Add additional EFT contacts

EFT Payer Add/Change/Delete Authorization Form – Add, change, or delete payers

EFT Test Transaction Resubmission Form – After initial test deposit is not received

EPayment Enrollment Authorization Form – To be used for bank changes

Payment Manager Authorization Request Form – Change payment manager administrators