Paper-based transactions account for nearly $350 billion in administrative costs in the United States health system annually. 1 Switching to electronic payments alone could save the industry an estimated $135 million each year. 1 Until recently, payers have been limited in their ability to expand electronic distribution of claims payments due to provider enrollment requirements and the workflow adjustments needed. Unless the payer accounts for a meaningful volume of payments, providers often choose to continue receiving paper payments. Provider adoption and enrollment has been slow for four key reasons: 1. Motivation for enrollment: Since enrolling directly with multiple payers requires administrative work, providers often associate the value of enrollment with the percentage

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