email other
Provider ACH payment enrollment (W-9, bank verification, ACH form)
No phone listed for this route
Published emailACH enrollment documents
Published hoursNot published in this record
workers comp
National contact — confirm product and location
Not researched for this route
AmTrust asks medical providers and vendors to return the ACH enrollment form, signed W-9 and bank verification document to this address (one form per TIN). For payment setup only, not bill submission or claim questions. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.
View source ↗ · Source checked 2026-10-25
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