Dear Medicare Supplement Provider:

We’re pleased to offer multiple electronic payment and remittance options to you through our business partners, Change HealthCare and ECHO Health, Inc. for the Medicare Supplement program sponsored by the American Medical Association. Quicker reimbursements and more efficient payment reconciliation are high priorities for healthcare providers, so we’re excited to offer these electronic options to you. The AMA-sponsored Medicare Supplement program is underwritten by the Transamerica Insurance Company, Transamerica Premier Life Insurance Company, or Transamerica Financial Life Insurance Company.

Sign-up for Automated Clearing House (ACH) payments for Medicare Supplement payments today!

You can choose ACH as your preferred method of payment, along with an electronic remittance advice, by selecting the option that is best for you. We recommend option A or B. By enrolling, you’ll have immediate web-based access to search, view, print and download electronic remittances (along with a human readable PDF version).

1. No cost ACH without Data from a Prior Payment
   Please complete the fillable pdf document found at:
   http://marketing.echohealthinc.com/acton/attachment/18947/f-7787fb57-38cd-49bf-90d0-358418095553/1/-/-/-/-/EFT%20Alternate.pdf.
   
   There are three methods to submit the completed EFT Enrollment form:
   1. Secure Upload: Go to https://edi.echohealthinc.com, choose EFT Enrollment from the Request Type drop down box. Attach the completed EFT Enrollment form.
   2. Mail: ECHO Health, Inc., 810 Sharon Drive, Westlake, OH 44145
   3. Fax: 440-835-5656
2. No cost ACH with Data from a Prior Payment
   If you have received a prior payment from ECHO Health, Inc., or a claims payment from a Transamerica company processed by AMA Insurance Agency, you may sign-up to receive ACH payments and 835 remittances for Medicare Supplement claims processed by AMA Insurance Agency only. To begin, please visit:
   https://enrollments.echohealthinc.com/efteradirect/AMA
   
   
3. Fee based ACH – If you have received a prior payment from ECHO Health, Inc., or a check number from a claim payment by a Transamerica company processed by AMA Insurance Agency, you may sign-up to receive ACH payments and 835 remittances from all participating payers associated with ECHO Health Inc., including AMA Insurance Agency. To begin that process, please visit:
   https://enrollments.echohealthinc.com/EFTERAInvitation.aspx
   
   This option includes a 1.99% fee to ECHO Health from all future payments from all providers associated with ECHO Health.

Please note: All EFT Enrollment documents should be submitted directly to Echo Health. It may take up to 10 business days for them to authenticate your enrollment information. Once completed, paper checks and remittances will no longer be mailed to you.

Sincerely,
AMA Insurance Agency, Inc., Third Party Administrator

EFT Contact Us

AMA Insurance Agency, Inc. processes claims for the Catastrophic Major Medical plans sponsored by the American Medical Association and underwritten by The United States Life Insurance Company in the City of New York (United States Life).

EFT Enrollment for these plans are offered by United States Life. To enroll in EFT for Catastrophic Major Medical claims payments, complete and submit the information requested below. An EFT enrollment form will then be emailed to you via secure email within the next 2 business days. Look for an email from css@aig.com. Complete the enrollment form, then reply via the secure email to submit your EFT enrollment form.