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EFT ATTESTATION AND REGISTRATION Provider Network Management 11/2014 Table of Contents EFT Attestation ................................................... 1 Plan Menu ................................................................... 1 Selecting the Provider ................................................. 2 Attest to being the EFT Responsible Party .................. 2 EFT Registration ................................................. 3 Select Action ................................................................ 3 Select Applicable Provider........................................... 3 Enter Financial Institution Information....................... 4 Confirm EFT Selection ......................................... 5 Confirm Selection........................................................ 5 Confirm of a Successful Transaction ........................... 5 TIPS .................................................................... 5 EFT Attestation The EFT Attestation and Registration transaction allows the EFT Responsible party to electronically attest and then register and/or maintain banking information on behalf of their practice. IMPORTANT: To use this transaction, a NaviNet Security Officer needs to enable the transaction for the EFT Responsible party. Please see note below for additional help documents. Plan Menu From the Plan Menu (may require scrolling), click EFT Attestation and Registration If, at any time, you receive a pop-up box on the screen asking for a user name and password or require additional information on Security Officer functions; please follow the instructions on the Provider Resource Center under: Online Provider Training Provider Training NaviNet Basics and NaviNet Tips.

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Page 1: EFT ATTESTATION AND REGISTRATION...EFT Attestation and Registration If, at any time, you receive a pop-up box on the screen asking for a user name and password or require additional

EFT ATTESTATION AND REGISTRATION Provider Network Management

11/2014

Table of Contents

EFT Attestation ................................................... 1 Plan Menu ................................................................... 1 Selecting the Provider ................................................. 2 Attest to being the EFT Responsible Party .................. 2

EFT Registration ................................................. 3 Select Action ................................................................ 3 Select Applicable Provider ........................................... 3

Enter Financial Institution Information ....................... 4

Confirm EFT Selection ......................................... 5 Confirm Selection ........................................................ 5 Confirm of a Successful Transaction ........................... 5

TIPS .................................................................... 5

EFT Attestation The EFT Attestation and Registration transaction allows the EFT Responsible party to electronically attest and then register and/or maintain banking information on behalf of their practice.

IMPORTANT: To use this transaction, a NaviNet Security Officer needs to enable the transaction for the EFT Responsible party. Please see note below for additional help documents.

Plan Menu From the Plan Menu (may require scrolling), click EFT Attestation and Registration

If, at any time, you receive a pop-up box on the screen asking for a user name and password or require additional information on Security Officer functions; please follow the instructions on the Provider Resource Center under: Online Provider Training Provider Training NaviNet Basics and NaviNet Tips.

Page 2: EFT ATTESTATION AND REGISTRATION...EFT Attestation and Registration If, at any time, you receive a pop-up box on the screen asking for a user name and password or require additional

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Selecting the Provider Select only those providers for which you are responsible for by clicking in the select column.

Then click NEXT for the selected provider to appear.

Attest to being the EFT Responsible Party Check the I ACCEPT check box to apply an electronic signature after reading the terms.

Click SUBMIT for the EFT Registration page to appear.

Page 3: EFT ATTESTATION AND REGISTRATION...EFT Attestation and Registration If, at any time, you receive a pop-up box on the screen asking for a user name and password or require additional

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EFT Registration

Select Action Use the dropdown to select the appropriate ACTION:

New Enrollment – used only to enroll a new provider

Change Enrollment – used to move a provider from one bank account to another

Cancel Enrollment - used to discontinue EFT for a provider

Select Applicable Provider Select the applicable providers by CHECKING the box and click NEXT.

Page 4: EFT ATTESTATION AND REGISTRATION...EFT Attestation and Registration If, at any time, you receive a pop-up box on the screen asking for a user name and password or require additional

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Enter Financial Institution Information Enter your Financial Institution ROUTING NUMBER.

Use the dropdown to select either your ACCOUNT TYPE: Checking or Savings.

Enter your ACCOUNT NUMBER. Check the I ACCEPT check box to apply the electronic signature.

Change the DATE to a future date, if appropriate.

Click SUBMIT.

Page 5: EFT ATTESTATION AND REGISTRATION...EFT Attestation and Registration If, at any time, you receive a pop-up box on the screen asking for a user name and password or require additional

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Confirm EFT Selection

Confirm Selection A pop up box will ask you to confirm your selection. Select YES to continue OR NO to review/cancel.

Confirm of a Successful Transaction The following confirmation will appear to indicate a successful transaction.

TIPS After EFT is enabled, you will no longer get paper EOBs in the mail. You will need to view your EOBs

on NaviNet under the AR Management function from the left hand navigation menu.

EFT Attestation and Registration updates to the Highmark database are REAL TIME.