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ELECTRONIC FUND TRANSFER (EFT) AUTHORIZATION FORM 1. Please provide the following information: FOLLOW THESE EASY INSTRUCTIONS TO ENROLL: Your Name: Certificate Holder's Name*: Address: City: Telephone.

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What Is an EFT? An electronic funds transfer, or EFT, is the electronic message used by health plans to order a financial institution to electronically transfer funds to a provider's account to pay for health care services. An EFT includes information such as: Amount being paid.

Enroll in EFT directly with Cigna by logging in to CignaforHCP.com > Working with Cigna > Enroll in Electronic Funds Transfer (EFT) Options. – Complete the electronic enrollment form.

How Do I Enroll? Log in to CignaforHCP.com. Select Working with Cigna. Select Enroll in Electronic Funds Transfer (EFT) Options. Complete the electronic enrollment form.

Shorten Your Payment Cycle. Follow the instructions in the above “Enrolling in EFT” section. To enroll in ERA with Cigna, contact your EDI vendor. Learn more about Electronic Funds Transfer and Online Remittance Reports or call 1.800. 88Cigna (882.4462).

Where paper claims can take 10-15 days to pay, electronic claims typically take only 3-5 days to pay (and can be processed in as quickly as 1-2 days).

DPPO and indemnity payments will be sent via EFT from Cigna Dental to your designated bank account once a week based on the last digit of your Taxpayer Identification Number (TIN). Note that it usually takes two days from the day listed below for payments to be posted to your designated bank account(s).

Online: Go to the online bill payment service. By Phone: Call Customer Service at 1 (800) 222-6700 (TTY 711) By Mail: Print and mail in a completed form. Automatic Payment Form (Recurring Direct Debit) [PDF] or Credit Card Authorization Form [PDF]

Log in to the Cigna for Health Care Professionals website (CignaforHCP.com) > Remittance Reports. Search for your remittance reports using several options: – Deposit Amount: Search for a specific deposit amount or deposits made within a specific date range.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232