Electronic Funds Transfer (EFT)/Electronic Remittance Advice (ERA)

Electronic Funds Transfer (EFT)

Electronic funds transfers (EFT) are easy, fast and efficient. Payments are deposited directly into your bank account within days of processing completion. 

• Submit an EFT Authorization Agreement to register for, make changes to or terminate an EFT agreement. The terms and conditions for EFT are documented on the form. 
• Currently, we are not accepting electronic requests to register for or make changes to EFT accounts. 

Note: New enrollments and changes to EFT can take up to 45 days to process once all information is received.
 

New EFT Accounts

HNFS requires two steps for new EFT registration. 

1. Complete and submit an EFT Authorization Agreement.* 
2. HNFS will send a secondary EFT verification form to the provider. This must be returned within 90 days of receipt in order for HNFS to complete processing of the application. 

*Attention Autism Care Demonstration applied behavior analysis (ABA) providers: In the Submission Information section of the EFT Authorization Agreement, if the reason for submission is new enrollment, check numbers are not required. Enter N/A for each check number request.
 

Changing EFT Bank Information

HNFS requires two steps for changing EFT bank information. 

1. Complete and submit an EFT Authorization Agreement. 
2. HNFS will send a secondary EFT verification form to the provider. This must be returned within 90 days of receipt in order for HNFS to complete processing of the bank change to reestablish EFT.   

Note: HNFS will suspend your current EFT and issue paper checks until your new bank information can be verified and EFT reestablished. 
 

Canceling EFT

1. Complete and submit an EFT Authorization Agreement. 
2. HNFS will cancel the current EFT arrangement. 

Electronic Remittance Advice (ERA)

Health Net Federal Services, LLC offers a choice of clearinghouses from which to receive electronic remittance advice (ERA)/835 statements for claims. We encourage you to research each to determine which one meets the needs of your practice.

Note: New registrations can take up to 10 days to begin receiving your ERAs from the clearinghouse with which you registered.

Use our ERA Registration tool to start viewing ERAs. You can also print the ERA Request Form along with the HIPAA EDI Provider Agreement and send it to PGBA, LLC by mail or fax:

PGBA, LLC
TRICARE Electronic Data Interchange
PO Box 17150
Augusta, GA 30903
Fax: 803-264-9864

Clearinghouses must complete the Clearinghouse/Direct Submitter Trading Partner agreement.
 

Remit Easy Print Software

You can save time and money with this free software that allows you to view and print the HIPAA compliant 835 remit. Download the Remit Easy Print software version 1.9.