Healthcare EFT Standard Enhancement Submission Form

If you would like to request enhancements to the NACHA rules, please complete the form below.

 

ADMINISTRATIVE INFORMATION

3. Contact Information (Organization, phone and email):

 

ENHANCEMENT REQUEST INFORMATION

 

BUSINESS CASE INFORMATION

 

IMPLEMENTATION INFORMATION

12. Please assess these other implementation factors for the initiative:

(1 – Low; 5 – High)
(1 – Simple; 5 – Complex)