Electronic Payments Required In Ohio

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Important Points

  • The Ohio Medical Association has announced that effective October 16, 2010, Ohio law regulating health plans is requiring all providers who send claims electronically to be setup for Electronic Funds Transfer (EFT) otherwise known as direct deposit.
  • Providers must contact each individual insurance company to setup the EFT account. 
     

 



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The Ohio Medical Association has announced that effective October 16, 2010, Ohio law regulating health plans is requiring all providers who send claims electronically to be setup for Electronic Funds Transfer (EFT) otherwise known as direct deposit.  Providers must contact each individual insurance company to setup the EFT account. 

Generally, you will need the following information to set up an EFT account with an insurance company

  1. Bank name and address
  2. Bank Account Type
  3. Nine-digit routing (ABA) number
  4. Full account number with leading zeros if necessary
  5. Primary account holder name
  6. Tax ID# of account holder
  7. Payee ID (on your current remittance advice)

Specific Payer EFT Enrollment Forms
Aetna
Anthem
CIGNA
Humana
MMO
UnitedHealthcare

American Medical Association
Frequently Asked Questions regarding electronic funds transfer agreements

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Credit and Consumer Rights
It is important to check credit billing and electronic fund transfer account statements regularly because these documents may contain mistakes that could damage your credit status or reflect improper charges or transfers. If you find an error or discrepancy, notify the company and dispute the error immediately. The Fair Credit Billing Act (FCBA) and Electronic Fund Transfer Act (EFTA) establish procedures for resolving mistakes on credit billing and electronic fund transfer account statements, including:

  • Charges or electronic fund transfers that you – or anyone you have authorized to use your account – have not made
  • Charges or electronic fund transfers that are incorrectly identified or show the wrong date or amount
  • Math errors
  • Failure to post payments, credits, or electronic fund transfers properly
  • Failure to send bills to your current address – provided the creditor receives your change of address, in writing, at least 20 days before the billing period ends;
  • Charges or electronic fund transfers for which you ask for an explanation or written proof of purchase along with a claimed error or request for clarification.

The FCBA generally applies only to “open end” credit accounts – credit cards and revolving charge accounts, like department store accounts. It does not apply to loans or credit sales that are paid according to a fixed schedule until the entire amount is paid back, like an automobile loan. The EFTA applies to electronic fund transfers, like those involving automatic teller machines (ATMs), point-of-sale debit transactions, and other electronic banking transactions.

 

 

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