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  • Instamed Order Form - Payer Payments - Caresource

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CONFIDENTIALINSTAMED ORDER FORM PAYER PAYMENTS Complete Online register.instamed.com/eraeftGet paid faster and easier with ERA/EFT. Instructions 21 Review and complete entire form3 Sign signature.

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InstaMed is certified with all four card brands for contact Europay, Mastercard and Visa (EMV) on the InstaMed Payment Card interface. EMV is a global standard for authenticating credit and debit card transactions with integrated chip cards at capable point of sale (POS) terminals.

As a J.P. Morgan company, our team can deliver an end-to-end suite of payments, treasury and banking solutions to support the financial needs of healthcare organizations of all types and sizes.

The InstaMed Auto Payment Collect solution securely stores a payment method on file to automate processing of patient payments – suppress printed statements, automate collections and post and reconcile payments to your system.

InstaMed accepts credit or debit card payments as well as payments from a checking or savings account. Your provider may accept all or some of these payment types.

Our digital patient payment and billing solutions engage patients early, deliver personalization through AI and ensure a simple and secure experience that drives patient satisfaction and improves your financial performance.

To process a refund for your patient, you must first login to your InstaMed Healthcare Payments account. Navigate to: https://online.instamed.com/providers and enter your user ID, password and corporate ID. Once logged in, instructions are available to void or refund a transaction from a receipt.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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