Enrollment Forms


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Enrollment

To help you get jump started using our practice management software, we assist you with the sometimes tedious process of EDI enrollments with the various government payers. This page has links to our enrollment forms that you can download and complete, or use the form in the bottom section of the page to send us your information so that we can pre-complete the enrollment forms and send them to you for signature.

Enrollment Forms

For practices doing their own billing
Choose one of the following:

For practices using a billing service
Choose one of the following:

Word document that you can complete and email

Adobe PDF that you can print, complete and fax

Email your forms or questions to

or call us at 888.294.9255 Ext. 4899

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