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BlueCross BlueShield of Texas
   
 
         
     
 


Electronic Funds Transfer (EFT) Agreement & Electronic Remittance Advice (ERA) Enrollment Form

EFT Agreement:

Electronic Funds Transfer (EFT) Agreement

ERA Form:

Electronic Remittance Advice (ERA) Enrollment Form
A Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
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