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Broker/Agent Electronic Payment Authorization Agreement If you have any questions completing this form, please contact Sentara Health Plans Finance at EFT_ERA_INQUIRY@sentara.com * An asterisk denotes

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What is brokeragent electronic payment authorization?

Brokeragent electronic payment authorization is a process that allows agents and brokers to request and authorize electronic payments for transactions or services related to financial operations.

Who is required to file brokeragent electronic payment authorization?

Entities such as brokers, agents, and potentially any business involved in electronic financial transactions may be required to file brokeragent electronic payment authorization depending on regulatory requirements.

How to fill out brokeragent electronic payment authorization?

To fill out brokeragent electronic payment authorization, the applicant must provide specific information including business details, banking information, and any necessary identification numbers required by the financial institution.

What is the purpose of brokeragent electronic payment authorization?

The purpose of brokeragent electronic payment authorization is to ensure secure and verified payment transactions between brokers, agents, and service providers, reducing the risk of fraud and enhancing transaction efficiency.

What information must be reported on brokeragent electronic payment authorization?

The information that must be reported includes the agent or broker's personal and business identification, account details for payment processing, transaction amounts, and any necessary compliance certifications.

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