Common Contracts
1 similar Enrollment Authorization Agreement contracts
EPS EFT new enrollment authorization agreementEnrollment Authorization Agreement • August 31st, 2015
by enrolling today! For more information about this enrollment form, please see the Electronic Payments and Statements EFT Enrollment Instructions by choosing the “How to Enroll” tab from the Optum EPS website. https://myservices.optumhealthpaymentservices.com/portal/server.pt.
