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 https://payerenrollmentservices.changehealthcare.com/
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.
- EFT Participating Payers - A listing of EFT participating payers
- EFT FAQs - Frequently asked questions regarding EFT
New Provider/Existing Providers
Quick Post Advisor™
Additional EFT information
- EFT Enrollment Data Element Descriptions - CORE-required Maximum EFT Enrollment Data Set
- CAQH CORE Payment & Remittance (CCD+/835) Reassociation Rule
- Opt In to receive CSA's specific to EFT