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May 1, 2012 - April 30, 2013
Automated Clearinghouse - Electronic Funds Transfer
Medical Assistance providers can now:
| Go Directly To: Automated Clearinghouse Application Register with PROMISe™ to receive a range of convenient electronic services. |
Through Electronic Funds Transfer (EFT)! Payments to providers are deposited electronically into the bank account of the provider’s choice. EFT is an efficient and cost effective means of enhancing practice management accounts receivable procedures. The Pennsylvania Medical Assistance Program is offering this service to providers enrolled in the program through the Automated Clearinghouse (ACH).
How can I enroll in the Automated Clearinghouse (ACH) Program?
To enroll in ACH, print and complete the Automated Clearinghouse Application. You may request an application by contacting the Provider Assistance Center at: 717-975-4100 or toll free at 1-800-248-2152. The ACH Application must be completed with the following information:
- The nine-digit MAID Provider Number and list of all service locations that are to be enrolled in the ACH program.
- The appropriate bank or financial institution’s American Bank Association (ABA) routing number. This can be obtained from your bank or financial institution. Please attach a voided check or a letter from the bank indicating the ABA and account numbers for the account where you would like your Medical Assistance (MA) payments deposited.
- A specific bank account number and the type of account (checking or savings). Only ONE bank account can be requested for each service location.
- The "type of authorization" being initiated (Start, Change, or Cancellation). To enroll, you would select "Start."
- Please retain a copy for your records.
NOTE: All applications must be signed and returned with a voided check or a letter from the bank attached in order to be processed.
When the ACH Application is completed, sign and return to:
Automated Clearinghouse Unit
HP
225 Grandview Avenue
Mailstop A-20
Camp Hill, PA 17011
The ACH Enrollment Process
When a completed and signed application is received and entered into PROMISe™, a Notification letter will be sent to you. This letter will reflect the account information that was entered into the system. If any of the information on the ACH Notification letter is incorrect, you must contact the ACH Unit immediately. Incorrect information will affect the posting of future payments into the account.
This letter also advises that the first of three weekly pre-notification transactions for zero dollars will be posted to your account within 10 days. During this testing period, it is most important that you contact your bank or financial institution to verify receipt of these transactions. You will continue to receive your MA payments via check until the three test transmissions have successfully completed. If the pre-notification tests are successful, EFT should begin within four weeks of your receiving the pre-notification letter.
EFT Rejections
When you receive your ACH Notification letter, three weekly transactions for zero dollars will be posted to your account. Please contact the ACH Unit if the deposits do not occur.
Common reasons EFTs are rejected are:
- Incorrect ABA routing numbers;
- Incorrect account numbers, or;
- The receiving account has been closed.
If the bank refuses an ACH deposit, your Medical Assistance payment will be mailed to the default address listed on your service location when you enrolled. The process of transferring your ACH payment to a check and mailing it to you will delay your payment. Please contact the ACH Unit prior to making any changes.
How do I change my ACH information?
To change account information, simply complete an Automated Clearinghouse Application noting the type of authorization as "Change" and attach a voided check or a letter from the bank.
When the application is completed, sign and mail to the ACH Unit. Please retain a copy for your records.
What if my ABA Transit Routing Number changes?
If your ABA transit routing number changes because you switched banks or routing number, it will be necessary to go through the pre-notification process again. To change an ABA transit routing number, complete an Automated Clearinghouse Application noting the type of authorization and attach a voided check or a letter from the bank. When the information is reported to the ACH Unit it is changed in our system, and the three weekly pre-notification transactions for zero dollars are posted to the new account. Again, it is important that you contact your bank or financial institution to verify receipt of these transactions. Your Medical Assistance Program Payments will be sent to you via check until the process is completed.
When the application is completed, sign and mail to the ACH Unit. Please retain a copy for your records.
How do I cancel ACH participation?
To cancel your ACH participation, complete an Automated Clearinghouse Application noting the type of authorization as "Cancellation." After the ACH Unit has processed the cancellation, you will begin receiving your Medical Assistance Program checks at the address reflected on that service location.
When the application is completed, sign and mail to the ACH Unit.
Please retain a copy for your records.
Who do I contact with questions?
The ACH Unit can be contacted at 717-975-4100, or toll free at 1-800-248-2152, between the hours of 7:30 a.m. and 5:30 p.m., Monday through Friday, excluding holidays, or send any written correspondence to:
Automated Clearinghouse Unit
HP
225 Grandview Avenue
Mailstop A-20
Camp Hill, PA 17011
