Common Contracts

EPS EFT Enrollment Authorization Agreement

Enrollment Authorization Agreement • September 29th, 2011 • Minnesota

• Contract Type
  Enrollment Authorization Agreement
• Filed
  September 29th, 2011
• Jurisdiction
  Minnesota

Optum is improving service to you by replacing paper checks and Explanation of Benefits (EOBs) with the Optum EPS solution. Get a head start by enrolling today! For more information about this enrollment form, please see the Electronic Payments & Statements EFT Enrollment Instructions by choosing the “How to Enroll” tab from the Optum EPS website https://myservices.optumhealthpaymentservices.com/portal/server.pt.