Tn Electronic Funds Transfer Agreement

As a reminder, the Centers for Medicare – Medicaid Services (CMS) Medicare Financial Management Manual, Pub. 100-06, Chapter 5, Section 160 C. Claims Processing Timeliness (CPT) Requirement; « Payment settlement, the date the funds are reserved in the supplier`s account, should not be made until two business days after the electronic payment data is transmitted to the original bank. » Therefore, suppliers should be aware that EFT transactions can take up to 48 hours to reach their bank. By checking the « Check History » of the Standard Intermediare Tax System (FISS) Inquiry Menu, suppliers can see a payment date two days earlier than the actual payment date reached their financial institution. For more information on using the « Check History » query option, see the instructions in Chapter 3: Request Menu in the FISS (Standard Tax Intermediation System) query option. You can request that your daily payment and/or purchase limit be increased or decreased by sending us a written message to the State Farm Bank, Post Box 2316, Bloomington, IL 61702-2316. This change, if approved, will take effect no later than 10 days after receipt. Under no circumstances will your daily payment limit be less than $200 per day, depending on the availability of funds in your account. Your debit card limits can be lowered to $200 per day or your debit card privileges may be revoked at the bank`s discretion.

Periodic explanation. You will receive a monthly statement that documents the date, amount and description of each transfer. For cash purchases and advances, the extract from your account indicates: 1) the date and amount of the transaction; 2) the name of the trader or bank; 3) where the transaction took place. Transfers. You should receive a receipt or confirmation if you make a transfer to or from your account at the terminal or point of sale. You will receive a monthly statement that documents the date, amount and description of each transfer. Any transaction through the online transfer system is subject to this contract and is subject to the rules, rules and agreements that exist from time to time between you and us with respect to any account that is the subject of the transaction (the rules, regulations and agreements that are used as a reference). With Electronic Funds Transfer (EFT), Medicare can transfer the payment directly to the provider`s financial institution. The Electronic Funds Transfer (EFT) Authorization Agreement (CMS-588) form is required for: State Farm Bank provides electronic transfers via our automated telephone system, online banking or by contact with 877-SF4-BANK (877-734-2265); If you are deaf, hard of hearing or do not use your voice to communicate, you can contact us via 711 or other relay services.

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