Emdeon ePayment connects you to the industry’s largest network.                        < Return

Emdeon appreciates your interest in its Emdeon ePayment service. Are there payers not currently participating in Emdeon ePayment’s electronic funds transfer (EFT) process that you would like to connect to? If so, please complete and submit this form. We will forward your request to the payers you have listed in an effort to increase ePayment adoption.

This is your chance to reduce paper processes and help accelerate the adoption of electronic payments in the healthcare industry; improving your business and helping to preserve the environement at the same time!

First Name

Last Name

Title


Organization Name


Street Address

City

State         Zip
 

Phone                        Ex
 
Fax

Email Address









I would like to request that Emdeon, on my behalf, approach the following payers to encourage them to offer EFT connectivity.

List each payer below on a new line:

Payer Name                                  Payer ID