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An independent licensee of the Blue Cross and Blue Shield Association PO Box 2266 4000 House Avenue Cheyenne, WY 82003 307.432.2788 1.888.557.2230 Fax: 307.632.1654 Email: fsb bcbswy.com www.wyomingblue.com.

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How to fill out the Auto Pay Form and explanation online

Filling out the Auto Pay Form is a straightforward process that ensures your eligible medical claims are reimbursed automatically through your Flexible Spending Account. This guide provides clear instructions to help you complete the form efficiently and accurately.

Follow the steps to successfully complete the Auto Pay Form.

  1. Click the ‘Get Form’ button to access the Auto Pay Form. This action will allow you to open the form in your preferred online editor.
  2. In the designated area, print your name clearly as the individual authorizing the AutoPay. Ensure your signature is added below your printed name.
  3. Fill in the date next to your signature to indicate when you are making this authorization.
  4. Review the eligibility criteria for claims that will be AutoPaid. Familiarize yourself with the types of claims that qualify, such as deductibles and copays.
  5. If you have other insurance coverage, consider the implications of AutoPay to avoid potential issues of double reimbursement.
  6. After completing all fields, save your changes, then download the form for your records. You can print the form or share it with the necessary parties for submission.

Complete your documents online today to streamline your claims process.

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Examples of autopay in a sentence “We then authorize our credit card company for autopay transferring funds from our checking account each month to pay our credit card bill.” “Autopay means your bank or credit union send[s] payments directly to your creditors.

Don't use automatic payments for bills where the total fluctuates each time: think utility bills and cable bills that could end up being a different total each month. You should also avoid paying certain bills with cash—including utility bills.

AutoPay. You can click the toggle to enable AutoPay in your account. When clients are enrolled in AutoPay, their default credit card on file is automatically charged for their full invoiced balance. AutoPay transactions run between 12:00-2:00 AM.

This can include installment loans, auto loans, mortgage loans, credit card bills, electric bills, cable bills, and more. These payments can be automated quite easily from a checking account.

Most commonly, automatic payments are used as a form of ACH debit payment. ACH debits are also known as ACH direct payments. When you set up autopay for recurring payments, such as a utility bill or credit card bill, you first provide your bank account number and bank routing number.

People use automatic payments set up with a merchant or other service provider to pay bills and other recurring payments from their bank or credit union accounts. This could be for utility bills, credit card bills, monthly fees for childcare, gym fees, car payments, or even a mortgage.

When autopay is set up, the card issuer is authorized to debit payment from a cardholder's bank account on a set date each month. Autopay payments will be funded from the same account previously used for paying off the credit card bill and can be canceled anytime. Don't let autopay lead to complacency.

Autopay options If you decide to enroll in autopay with your issuer, you will be presented with three options: pay the minimum, pay the full balance or pay a fixed amount.

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