How to sign up for electronic funds transfer (EFT)
As a TotalAssist grant recipient, you can sign up to get reimbursement payments directly deposited into your checking account through electronic funds transfer (EFT). It is a quick and easy way to get paid for your claims. Anyone using EFT must have an open checking account.
Who can sign up for EFT?
- TotalAssist patients
- Providers
- Pharmacies
How to sign up for EFT
- Complete and sign the Electronic Funds Transfer (EFT) Form.
- A sign-up form will be provided in your approval packet (mailed, or in your portal account)
- Or, you can download a new copy.
- Provide one of the following documents:
- Voided check: Attach a voided check by writing “VOID” across the front of a blank check. The account and routing number at the bottom of the check must be visible.
- Bank statement: Provide the first page of your bank statement showing the account holder’s name and account number.
- Send the form with the voided check or bank statement via fax or mail to:
- Fax: (757) 952-2039
- Mail: PAF Accounting Department, 421 Butler Farm Rd, Hampton, VA 23666
Please note we cannot process EFT sign-ups unless you are a patient who has been approved for a TotalAssist grant, or you’re a provider or pharmacy managing active patient grants and expenses.
How long does it take to start getting payments direct deposited?
Once we receive your completed form with your documentation, we will process your EFT registration. We will start sending EFTs for expenses paid once this has been set up. The turnaround time can be up to a few weeks.
Need more help?
Chat live or call 866-512-3861, Mon - Fri, 8:30am - 5:30pm ET.
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