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EFT Enrollment Request Form

MBPros is please to offer an EFT (Electronic Funds Transfer) Enrollment Service. This service is available whether you are using MBPros Billing Service or not. EFT allows you to receive payments from the insurance payer by direct deposit into your bank account rather than by paper check. Why should you enroll for EFT?

Shorter Time for Payment to Reach Your Bank Account

  • Payment is sent to your bank once the claims are processed and paid. This results in payment being in your bank account usually by the next business day.
  • In comparison with paper checks you have to wait for the payer to print, address and mail the check with the EOB.
  • In addition, with paper checks you run the risk of not receiving the payment in the mail but you do not have a risk of a lost payment with EFT.

No Risk of Payment Being Sent to a Wrong Address

  • Perhaps you moved your office but the payer has not yet updated your address in their system.
  • With paper checks you have to hope that the payment is forwarded by the Post Office from your old address to your new address.
  • With EFT you do not have the issue of a wrong address since the payment is being deposited electronically.

Fees

  • Our fee for enrollment is $59.95 per payer for practices using Medical Billing Professionals Medical Billing Service. If for any reason a payer will not set you up for EFT (for example, maybe EFT is not offered to out of network providers) we will refund the $59.95 fee for that payer.
  • If you are NOT using Medical Billing Professionals Medical Billing Service the fee is $69.95 per payer.  After completion of the below form, MBPros will send you the invoice for the EFT Enrollment Fees which you can pay securely online so MBPros can then enroll you for EFT.

Simply complete the below form to get started.

Electronic Funds Transfer Enrollment

If you want MBPros to enroll you for Electronic Funds Transfer (EFT) with payers, please complete this form.

Please enter the routing number of your bank as it appears on your check.
Please enter your bank account number
Please attach a scanned FRONT of a voided check which is required for us to enroll you for EFT with payers. NOTE: If you do not have any checks you may attach a letter from your bank on their bank letterhead that includes the name on your account, the routing number and your account number.
Max. file size: 30 MB.
Please attach a scanned BACK of a voided check which is required for us to enroll you for EFT with payers. NOTE: If you do not have any checks you may attach a letter from your bank on their bank letterhead that includes the name on your account, the routing number and your account number.
Max. file size: 30 MB.
Some payers require a letter from your bank. Please attach here a letter from your bank on their letterhead that includes the name on your account, the bank routing number and your account number. NOTE: If you do not have the letter, you may complete this form. However, you must then obtain such a letter from your bank and email it to us.
Max. file size: 30 MB.
MBPros Fees(Required)
By checking the below box you understand that MBPros' fee is $59.95 per payer for enrolling you for Electronic Funds Transfer if you are using Medical Billing Professionals Medical Billing Service. If you are not using MBPros Medical Billing Service but only want us to enroll your practice for EFT you understand the fee is $69.95 per payer.
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On-Demand Webinars

Intro to our Services

Need Help Billing in Sessions Health or TherapyNotes?

Meet With Us Virtually

TherapyNotes Unofficial User Group