Common Contracts
2 similar Deposit Authorization Agreement contracts
Automatic Direct Deposit Authorization Agreement (ACH Credits)Deposit Authorization Agreement • December 12th, 2006
By completing this document, you authorize Anthem to credit your bank account for the dollar amount of eligible and verified claims submitted against your Reimbursement Account.
Automatic Direct Deposit Authorization Agreement (ACH Credits)Deposit Authorization Agreement • December 12th, 2006
By completing this document, you authorize Anthem to credit your bank account for the dollar amount of eligible and verified claims submitted against your Reimbursement Account.
