Electronic Funds Transfer (EFT) Authorization AgreementDecember 2nd, 2014
FiledDecember 2nd, 2014Provider hereby authorizes Blue Cross Blue Shield of Kansas City (BCBSKC), on behalf of itself and its affiliates, to initiate credit entries to this account. This authorization agreement is effective as of the signature date and is to remain in full force and effective until BCBSKC has received written notification of its termination from Provider in such time and such manner as to afford BCBSKC and the financial institution a reasonable opportunity to act on it. Provider agrees that all ERA and/or EFT transactions will be conducted in accordance with BCBSKC's policies and procedures (and may be changed from time to time).