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For providers: Setting up EFT authorization for electronic payment

At APWU Health Plan, we are pleased to offer our providers a more efficient way to pay claims. We now can pay you electronically instead of by check. If you are interested in this option, complete and mail this form. You will find the mailing address on the form.

You must contact your banking institution to arrange for the delivery of the CORE required minimum CCD+ Data Elements necessary for successful reassociation.



Important

The EFT Authorization Agreement Form must be submitted with an original signature to APWU Health Plan. Submitting the form with incomplete information and without an original signature will delay the process.