Electronic Funds Transfer (EFT): With EFT, Medicare can send payments directly to a  provider’s financial institution whether claims are filed electronically or on paper. All Medicare providers may apply for EFT.

Advantages of Electronic Funds Transfer (EFT): EFT is similar to other direct deposit operations such as paycheck deposits, and it offers a safe modern alternative to paper checks. Providers who use EFT may notice the following benefits:

• Reduction to the amount of paper in the office
• Valuable time savings for staff and avoidance of hassle associated with going to the bank to deposit Medicare check
• Elimination of the risk of Medicare paper checks being lost or stolen in the mail
• Faster access to funds; many banks credit direct deposits faster than paper checks
• Easier reconciliation of payments with bank statements.
  

How to Enroll in EFT: All Medicare contractors include an EFT authorization form in the Medicare enrollment package, and providers can also request a copy of the form after they have enrolled. Providers simply need to complete this short form, mail it to their Medicare contractor, and include a voided blank check to facilitate the transfer. Medicare payments will be made directly to the financial institution through EFT, in as little as two weeks.

EFT Formats: Medicare contractors can use one of two formats to transmit provider electronic claim payments to financial institutions: Automatic Clearinghouse (ACH) format, or table 1 of the X12 835 version 40101A1 implementation guide which was adopted as a national standard under HIPAA for electronic payment and remittance advice. Both of these formats are considered national standards.

See the Medicare Claims Processing Manual, (Pub.100-04), Chapter 24, Section 40.7 for further information on use of EFT for provider payments.

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Page Last Modified: 12/14/2005 12:00:00 AM
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