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EFT requirement: Frequently asked questions 

June 29, 2018    


The following frequently asked questions (FAQ) were developed to provide more detailed information about the implementation of an electronic funds transfer (EFT) requirement for all providers who participate with Independence Blue Cross (Independence).

Note: This FAQ document will be updated as additional information becomes available.

1. Why is Independence implementing a requirement for participating providers to have EFT capability?

Independence often receives requests from participating providers to reissue checks that are either lost or have not been delivered, which requires checks to be voided and reissued. Ensuring our participating providers are EFT-enabled allows payments to reach providers’ bank accounts more efficiently and allows for the funds to be available more quickly.

2. When will this requirement be implemented?

As of January 1, 2019, Independence will require that all participating providers register for and maintain EFT capability for the payment of claims, capitation, and incentive-based programs.

3. How do I register for EFT?

Registration must be completed through the EFT Attestation and Registration transaction on the NaviNet web portal. This transaction, which is accessible by selecting ePayment from the Independence Workflows menu, must be completed by an individual who is authorized to access and maintain banking information for your organization. Note: This individual will be required to attest as the designated responsible party when first accessing the EFT registration screen.

Please review the detailed EFT Attestation and Registration Guide, which is available in the NaviNet Resources section of the Provider News Center.

If you currently do not have an account with NaviNet, please contact the eBusiness Hotline at 215-640-7410 to request access. Please obtain NaviNet access at least 30 days prior to the effective date of the EFT requirement.

4. Can I start the registration process early?

Yes. We encourage providers to begin early and not wait until the January 1, 2019, deadline to be compliant. When registering for EFT for the first time or when making changes to an existing registration, you may request an alternative effective date, as long as that date is before January 1, 2019.

5. How do I change my banking information?

Changes to an existing registration must be completed through the EFT Attestation and Registration transaction on NaviNet. The EFT Attestation and Registration Guide provides specific instructions on how to request changes.

6. How long will it take to for my registration or changes to become effective?

Your banking information is updated immediately in our corporate provider database and will be effective the next payment cycle after the requested start date. For example, if you request that EFT start July 9, 2018, then claim payments will be received via EFT by end of day July 18th and should be visible in your bank account on July 19th.

7. What information is required when registering?

In addition to your bank account number and bank account type, you will need the bank routing number. This is a nine-digit number established by the American Bankers Association (ABA) and can be found next to your account number on the bottom of a check from your bank. Note that EFT registration must be completed by an individual who is authorized to access and maintain banking information for your organization. The EFT Attestation and Registration Guide provides detailed instructions.

8. Will I continue to receive Provider Explanation of Benefits (EOB) and Provider Remittance statements in the mail?

Yes, at this time, Independence will continue to deliver printed copies of your Provider EOB and Provider Remittance statements by mail. Additionally, the NaviNet EOB and Remittance transaction allows you to view, download, and print copies of Provider EOB and Provider Remittance reports in PDF format.

9. How will I know that I received a payment?

EFT payments will be issued on your normal disbursement schedule. Transaction information will be detailed in your bank statements and correspond with your Provider EOB and Provider Remittance statements.

10. Are there any provider payments issued by Independence that will not be sent via EFT?

At this time, you will continue to receive payments made from a member’s spending account via paper check.

11. Does Independence perform a test transaction?

No. Your banking information is updated in real time through the NaviNet portal and effective for the next payment cycle. If an error occurs with the transaction due to incorrect banking information entered by the individual authorized to access and maintain banking information for your organization, a representative from Independence will contact you within 3 – 5 business days after receiving notification from our bank.

12. Will Independence use EFT to withdraw funds?

No. Independence uses EFT for disbursement of payments only. However, on rare occasions an EFT payment may be reversed if it is determined to be a duplicate or erroneous transaction.

13. What will happen if I do not enroll in EFT by January 1, 2019?

If you do not enroll in EFT by January 1, 2019, you will continue to receive payments via check, as Independence works with you to enable EFT for your practice as soon as possible. However, you will not be in compliance with Independence’s network participation requirements.

14. Who can I contact if I need assistance with the registration process?

You may contact our eBusiness Provider Hotline at 215-640-7410 for assistance with registration. In addition, review the EFT Attestation and Registration Guide, which is available in the NaviNet Resources section of the Provider News Center.

For more information

If you cannot find the information you are looking for here and have further questions, please contact our eBusiness Provider Hotline at 215-640-7410.

You can download a PDF of this FAQ here.

NaviNet is a registered trademark of NaviNet, Inc., an independent company.





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