Electronic Funds Transfer

• If you are a participating provider ConnectiCare can issue an EFT to your bank account in lieu of printing a check for your payment. Selecting this service accelerates the cash collection process for your office.

• To implement electronic funds transfer, the following is required:

• your bank name and address
• your bank ABA or routing transit number
• your account name and number
• the type of account to which funds will be transferred (checking or savings account)
• your ConnectiCare provider or group number

• Your bank may require a letter of authorization to accept electronic transactions from ConnectiCare into your account. ConnectiCare may also request that you provide us with a spec sheet from your bank or a copy of a voided check. (Deposit slips are not acceptable.)

• Mail or fax a copy of the authorization letter along with the required information requested above to:

ConnectiCare, Inc. & Affiliates
Attention: Financial Operations/EFT
175 Scott Swamp Road
Farmington, CT 06032-3124
Fax: (860) 674-2215

• Be sure to notify ConnectiCare of any changes in bank information.

Note: A copy of the Electronic Funds Transfer Form is provided in online forms.