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Get Anthem Eft Form
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How to fill out the Anthem EFT Form online
Filling out the Anthem Electronic Funds Transfer (EFT) form is a straightforward process that enhances your efficiency and ensures timely premium payments. This guide provides clear instructions to help you complete the form accurately and confidently.
Follow the steps to successfully complete the Anthem EFT Form online.
- Press the ‘Get Form’ button to access the Anthem EFT Form and open it in your preferred digital document editor.
- Begin by selecting the enrollment type. Indicate whether you are completing the form for a new enrollment or a revised authorization.
- Enter the requested effective date of the EFT service. This date represents when you want the service to begin.
- Provide details regarding your financial institution. Enter the name and address, ensuring to include the city, state, and ZIP code.
- Fill in your account number and bank ABA number. Select the type of account being used for this EFT (checking/NOW, savings, or other). If you chose 'other', specify the type accordingly.
- Complete the group information section by providing your group name, group number with Anthem, and group address. Include the city for this address.
- Designate a group contact person and provide their phone number for any necessary follow-up.
- Affix your printed name, sign the authorization, and include the date of completion to finalize the form.
- Attach a voided check if required, and ensure all sections are completed before submission.
- Save any changes made to the form, then proceed to download, print, or share the completed Anthem EFT Form as needed.
Complete your Anthem EFT Form online today for improved payment efficiency.
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Setting up EFT with Anthem involves completing the Anthem Eft Form with the necessary banking information. Make sure to provide accurate account details for smooth transactions. After submitting the form, you will receive confirmation from Anthem, indicating that your EFT arrangement is in place. This process simplifies how you receive payments, making it an efficient and effective solution.
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