Electronic Funds Transfer (EFT) Authorization Form

Are you ready to stop going to the bank to deposit checks? Would you like to receive reimbursement faster? If so, then electronic funds transfer (EFT) is for you!

EFT is available to all providers, hospitals and professionals, both in network and out of network. If you would like to participate in the EFT program, complete the EFT Authorization form and sign the EFT Terms and Conditions and fax them to:

Attn: EFT Coordinator

Overpayment Refund Form

Use the Overpayment Refund form when sending BlueCross BlueShield of South Carolina unsolicited/voluntary refund checks. Mail the form and check to:

BlueCross BlueShield of South Carolina
Attn: Lockbox, AX-A31
I-20 E at Alpine Road
Columbia, SC 29219-0001