Providers - EFT

How do you enroll for the EFT service?

Providers can obtain an authorization form from their ActivHealthCare customer service representative or download a form from our website It is located in the Forms section (from the left menu) of the website.

The form must be completed, uploaded to the Provider Portal or faxed to (678) 736-8186. Note, the request form will ask for you to designate if the deposit will be made into a checking account or savings account. Please be sure to double check and make sure your have put the correct bank routing and account numbers on the form.

What is the benefit to receiving an EFT?

Providers receive claim payments faster and the payments are directly & securely deposited into the provider’s bank account.

Which providers are eligible for electronic fund transfer (EFT)?

All contracted ActivHealthCare in-network providers located in the State of Georgia are eligible.

What is an Electronic Fund Transfer or “EFT”?

Electronic Funds Transfer (EFT) provides for electronic payments and collections. EFT is safe, secure, efficient, and less expensive than paper check payments and collections