Medical & Hospital EFT Enrollment Forms

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

Please visit
to enroll for the following payers below:

PES Participating Payers - Full list of PES participating payers

For all other EFT Payers, please click on the EFT Participating Payer List below to verify if payer is participating and then click on EPayment Request forms link below to enroll for EFT.

New Provider/Existing Providers

Quick Post Advisor™

Additional EFT information