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Claims Banking Information

Action Required: Our records show that we do not have your current address on file. Before you can make changes to your banking information, please update your address. Once your address is current, you will be able to modify your banking information.

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We cannot process your request due to conflicting or multiple submissions. Please try again tomorrow or contact our office for assistance.

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To add your banking information, please answer the questions below and provide your account details. This ensures that the account you provide is valid for claims payments.

Only Canadian bank accounts can be used. Please provide a valid Canadian bank account.

I confirm that this is a Canadian bank account.

Line of credit accounts cannot be used. Please provide a chequing or savings account.

I confirm that this account is not a line of credit.

The bank account must be in your name. Please provide an account registered to you.

I confirm this account is in my name or is a joint account where I am a named holder.

Invalid banking information. The institution number must be 3 numbers.

Please enter your bank/financial institution number.

Bank/Financial Institution Number

Please enter your transit number.

Invalid banking information. The transit number must be 5 numbers.

Transit Number

Please enter your account number.

Invalid banking information. Account information must only contain numbers.

Account Number

Your banking information

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Bank/Financial Institution Number: {{Bank/Financial Institution Number}}

Transit Number: {{Transit Number}}

Account Number: {{Account Number}}

Direct Deposit Authorization

I authorize Ellement Consulting Group (“Ellement”) to deposit payment for my processed claims directly into my bank account using the details I have provided. This authorization will remain in effect until I update or terminate my banking information through the Member Portal, or until I provide written notice to Ellement in sufficient time to allow for processing.

The banking information provided will be used solely to facilitate electronic funds transfer (EFT) payments for eligible claims and payments administered by Ellement. I understand that Ellement may, without prior notice, stop direct deposit and issue payments by cheque instead. I also understand that if an overpayment is made in error, Ellement may correct it by debiting my account for the amount of the overpayment.

If the banking information provided does not belong to you, you acknowledge and agree that Ellement shall not be liable for any deposits made to that account, and that you shall be solely responsible for any consequences arising from funds being directed to an account not under your name.

By accepting this authorization, I agree that it has the same effect as providing my signature on a paper form.

You must accept the terms of the Direct Deposit Authorization to continue.

By checking this box, I confirm that I have read, understood and agree to the terms of the Direct Deposit Authorization, and that the information I provided is true and complete.

Thank you {{FirstName}}!

Your claims banking information has been updated and will be effective as of tomorrow.

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