Common Contracts

1 similar Eft Authorization Agreement contracts

Louisiana Medicaid Direct Deposit (EFT) Authorization Agreement
Eft Authorization Agreement • October 13th, 2020

• If the individual provider is doing group billing only, then an EFT form should not be completed for the individual. Instead, an EFT form should be submitted (or already on file) only for the business or entity which the individual is linked to.

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