Payer Enrollment Authorization

Last Updated: September 9, 2026

To reduce enrollment paperwork, Customer may submit payer transaction enrollment requests through Stedi’s platform. By accepting this Payer Enrollment Authorization, Customer grants Stedi and its designated agents limited authority to agree to and complete, sign, and submit to health plans, governmental healthcare programs, clearinghouses, and other entities participating in the processing or administration of standard transactions and related services, electronic or paper enrollment forms for electronic funds transfer (EFT), claims and electronic remittance advice (ERA), eligibility transactions, direct deposit authorization, automated clearing house (ACH) authorization, clearinghouse registration, and related onboarding or enrollment documents such as website use terms and conditions, privacy policies, and similar terms and conditions on behalf of Customer and any healthcare providers who directly or indirectly use Customer’s services through Stedi’s platform (collectively, “Designated Providers”), including any related authorizations for payers, their agents, and payment intermediaries to credit and debit Customer’s or any Designated Provider’s designated bank account (collectively, “Enrollment Forms”). Such Enrollment Forms may include, but are not limited to, terms relating to limitations of liability, indemnification, liabilities and responsibilities, arbitration, choice of law and venue, electronic receipt of communications including tax forms, security, and more. Stedi may exercise this authority only for Enrollment Forms that facilitate, maintain, or support standard transactions or related services that Stedi provides to Customer under this Agreement. Stedi will agree to and complete such Enrollment Forms only to the extent they are required for enrollment, and you acknowledge that it is your responsibility to ask Stedi for copies of such forms by emailing enrollments@stedi.com should you wish to review them. Without limiting the foregoing, Customer authorizes Stedi to update or change information previously submitted on any Enrollment Form, and at the request of Customer or any Designated Provider, cancel or terminate any enrollment, on behalf of Customer or such Designated Provider. Customer may revoke this authority at any time by written notice to Sted at enrollments@Stedi.com; provided that such revocation applies prospectively only. This limited authority is an agency appointment only and does not create a power of attorney, attorney-in-fact relationship, or fiduciary arrangement under applicable law. Customer represents and warrants that: (i) all information Customer supplies to Stedi for any Enrollment Form is complete and accurate; (ii) Customer will promptly notify Stedi in writing if any Designated Provider withdraws consent or if any information becomes inaccurate; (iii) Customer has obtained and will maintain all necessary consents and authorizations from each Designated Provider required to grant Stedi the signing authority described above; and (iv) the Designated Providers have or will have access to copies of any Enrollment Forms that Stedi submits on their behalf by emailing enrollments@stedi.com. Stedi may rely on all information and instructions received from Customer without independent verification and has no duty to investigate the accuracy or completeness of such information.