Electronic Funds Transfer (EFT)

Submitted by admin on Mon, 07/30/2012 - 19:20

DATE:  July 30, 2012

RightCare from Scott and White reimbursements are available to all enrolled providers by check or electronic funds transfer (EFT). Providers are strongly encouraged to utilize EFT, which allows for more rapid reimbursement.

Advantages of EFT include:

• Electronically-deposited funds are available more quickly than with paper checks.
• Providers do not have to worry about lost or stolen checks.

To enroll for EFT, providers must submit a completed Electronic Funds Transfer (EFT) Authorization Agreement to RightCare. A voided check or letter on bank letterhead, containing the bank routing and account information, must be attached to the enrollment form. One completed form must be filled out for each billing provider identifier, including an original signature of the provider.

After the Electronic Funds Transfer (EFT) Authorization Agreement has been processed, RightCare issues a prenotification transaction during the next cycle directly to the provider's bank account. This transaction serves as a checkpoint to verify EFT is working correctly.

If the bank returns the prenotification without errors, the provider will begin receiving EFT transactions.

If the provider changes bank accounts, the provider must submit a new Electronic Funds Transfer (EFT) Authorization Agreement to RightCare. The prenotification process is repeated and, once completed, the EFT transaction is deposited to the new bank account.

The Electronic Funds Transfer (EFT) Authorization Agreement can be found in Addendum D-Forms in the Provider Manual, located at on the RightCare website at www.rightcare.swhp.org. It can also be located in the Provider Forms link, under RightCare Provider Information at www.rightcare.swhp.org. Completed EFT forms can be mailed to:

RightCare from Scott & White Health Plan
ATTN: EFT Enrollment Department
Mail Stop: MS-A4-144
1206 West Campus Drive, Temple, Texas 76502

*Forms must be mailed-in or scanned and sent by e-mail. Fax copies WILL NOT be acceptable due to readability.

For the convenience of having direct deposit, you must be willing to download your Explanation of Benefits (EOB)/Explanation of Payment (EOP) Statements directly from www.rightcare.swhp.org. No paper copies will be mailed once direct deposit is in effect.

To access the EOP statement from www.rightcare.swhp.org, select RightCare Electronic Provider Portal from the left side of the page. A login/password is required to continue to access the information. Once the setup has been completed, select "statements" from the gray bar. Select EOP from the drop down. The EOP number, the date, the paid to information and the check number is visible. Select the EOP to be viewed and the statement will open in PDF format. EOPs can be printed or saved electronically.

If providers prefer to sign up for electronic remittance advice notices from RightCare, this can be done from the following link: http://www.emdeon.com/resourcepdfs/ERAPSF.pdf. An electronic remittance advice is an electronic version of a payment explanation which provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. RightCare utilizes the HIPAA X12N 835 standard.

RCSWHP 7122