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[…] name; email address; physical address; phone number; date of birth; driver’s license number; member or beneficiary ID; drug allergy information; health condition; claims history; eligibility data; and credit card information (for home delivery payment). If you are a healthcare professional or other independent provider, we may collect your first and last name; work address; […]
Enrollment for Magellan claims payment only (no fees apply), Visit: https://enrollments.echohealthinc.com/efteradirect/Magellan. NOTE: You must await your initial payment via virtual credit card before you can register for EFT. Required for first-time enrollment: Draft number Draft amount (supplied with your initial payment) TIN Where to find draft number/amount on your EOP.
