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EFT Enrollment Request Form

Electronic Funds Transfer Enrollment

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

MBPros Fees(Required)
By checking the below box you understand that MBPros' fee is $19.95 per payer for enrolling you for Electronic Funds Transfer
Please attach a scanned voided check which is required for us to enroll you for EFT with payers.
Max. file size: 30 MB.
Date

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On-Demand Webinars

Intro to our Services


Need Help Billing in TherapyNotes?


Meet With Us Virtually


TherapyNotes Unofficial User Group