Health Choices ×
800-747-8900
  • Members
  • Employers
  • Providers
  • Brokers
  • Benefit Administration
  • Services
  • About
  • Contact

Home   /   Direct_Deposit_Auth

Direct_Deposit_Auth

Direct Deposit Authorization Claim Form (PDF file)

Health Choices
1605 Associates Drive
Dubuque, IA 52002
563-556-8070 | 800-747-8900
  • Home
  • Benefit Administration
  • Services
  • About
  • Contact
  • Members
  • Employers
  • Providers
  • Brokers
  • Privacy Policy
  • Glossary of Health Coverage & Medical Terms
  • Phone Fraud Alert
  • Your Rights & Protections Against Surprise Medical Bills
  • Transparency in Coverage Machine Readable Files
©2025 Health Choices.
All Rights Reserved.