Mar 25, 2020
With many businesses instituting work from home policies, and even carriers reducing in-office presence, a faster alternative to checks may be needed. ACH/debit is an easy option to ensure that carriers receive payments on time. For new groups that are in the process of instating coverage, it’s especially important to ensure that plans keep their effective dates and members get the coverage they need.
Carrier ACH Form Links
| Carrier ACH Form Links | |
|---|---|
| Aetna | Banking consent form |
| Anthem Blue Cross | Electronic debit payment/recurring payment option |
| Blue Shield of California | Small group initial payment form |
| CaliforniaChoice® | ACH payment form |
| Call A Doctor Plus | ACH authorization form |
| ChoiceBuilder® | ACH payment form |
| CoPower | One-time direct debit authorization form |
| Health Net | Electronic check form |
| Kaiser Permanente® | Electronic transfer for payment |
| MediExcel | Direct deposit and wire transfer instructions |
| MetLife | Autopay authorization form |
| Oscar Health | ACH authorization form |
| Premier Access Dental and Vison | Bank draft plan |
| Principal | Direct deposit form |
| Sharp Health Plan | ACH initial payment form |
| UnitedHealthcare | Scheduled direct debit authorization form (HMO/PPO enrollment) |
| Unum | Online enrollment. No paper applications |
| Western Health Advantage | One-time debit form for new groups |
For more information, contact your LISI Regional Sales Manager.
