EPS - Online Enrollment

First, tell us how you would classify your enrollment.

I am enrolling as a Healthcare Organization.

CANCEL ENROLLMENT

How to Choose Enrollment Classification

Select Healthcare Organization if your organization is one of the following:

Hospital or Facility
Group Practice or Individual Practioner
Healthcare services organizations (Clinician, Practitioner, DME, Home Health Services, Laboratory Services, other)

Select Billing Service if your organization is contracted to perform billing activities on behalf of Healthcare Providers.

CLOSE TIP

I am enrolling as a Healthcare Organization.

Great! Next, how would you like to receive your payments?

I would like to enroll in direct deposit (ACH) only.

CANCEL ENROLLMENT

How to Choose Payment Type

Automated Clearing House (ACH) - This direct deposit option is the quickest form of payment. Provide your banking information on your enrollment and payments will be deposited directly into your bank account.

Virtual Card Payment (VCP) - No banking information is required for this payment option. VCPs are payment card transactions that you process via your point of sale terminal, similar to the way patient co-pays would be processed. VCP transactions are subject to additional terms and conditions, including fees, between you and your card service processor.

The Optum virtual card program uses a reloadable virtual card, rather than single use cards.

You will receive a reloadable virtual card for each Payer that is paying virtually, please retain the virtual card information, including the 16 digit account number, the CVC, Proxy number and expiration date in a secure location.

Your virtual card will be delivered via the USPS. When you receive your card please activate the card and then log into Optum Pay portal to view the payment and remittance information.

You'll redeem your virtual card on your point of sale terminal. You'll enter the 16 digit account number, the payment amount, CVC, expiration and some point of sale terminals also require the zip code. Please use the zip code from the mailer.

Future payment notifications will be made via email, so when you set up contact information please use a valid, work email.

All virtual payments expire after 30 days, so please take immediate action to redeem your payments

CLOSE TIP

Virtual Card Payment Notification

By electing to receive Virtual Card Payments you agree that:

Mailing of the VCP constitutes payment for purposes of a Payer's compliance with applicable law.

By processing a VCP, you are subject to the terms and conditions governing card processing between you and your card service processor and you are responsible for any charges and related third party fees, including interchange, merchant discount, or other card processing fees that may be imposed as a result of processing a VCP.

I AGREE CANCEL

I am enrolling my 3rd Party Billing Service Company Change

Please enter your 9 digit Organizational Tax Identification (TIN) :

Enter TIN or EIN

CANCEL ENROLLMENT Continue