To check the status of an EFT enrollment or change request, call National Dentist Line 800-451-7715 ... You may also mail your completed form to Aetna Dental – PO ...

To check the status of an ERA/EFT enrollment or change request, call National Dentist Line 800-451-7715. IMPORTANT: Please allow 30 business days for ...

You can find the medical and dental authorization agreement forms below. Use the appropriate form to enroll in EFT, change your EFT enrollment or update your ...

The standard turnaround time for enrollment form processing is 30 days. You can call us at 1-800-776-0537 to check status. I faxed in an EFT refusal form more ...

We'd like you to enroll in Electronic Funds Transfer (EFT). EFT is a free and secure way for you to receive your payments faster.

Please use this guide to prepare/complete your Electronic Funds Transfer (EFT) Authorization Agreement Form. Missing, illegible or incomplete information.

Type your information into the form on your screen, or print the form and fill in the information. » Complete all sections that apply to your enrollment choice ...

Use this form 1) to enroll or change in both ERA and EFT; 2) to change your ERA vendor only; or 3) to change your bank account.

28 февр. 2014 г. · Email Application to: Enrollment@dentalxchange.com. Approval Process and Timeframes: Payer estimates 30 business days for processing.

If your financial institution does not honor an EFT request, Aetna may make a second attempt within five business days. • Aetna has the right to end EFT ...