Documents
PROTOCOLS
| PROTOCOLS | DESCRIPTION | DOCUMENT |
|---|---|---|
CEDI-DME | EDI Enrollment | |
Medicare Part A/B | EDI Enrollment (FL, PR & USVI) | |
RR Medicare | EDI Enrollment | |
Aetna | ERA/EFT Enrollment | |
Cigna | ERA/EFT Enrollment | |
Delta Dental | ERA/EFT Enrollment | |
Humana & Humana Medicare | ERA/EFT Enrollment | |
Mapfre | ERA/EFT Enrollment |
FORMS
| FORMS | DESCRIPTION | DOCUMENT |
|---|---|---|
Installation Form | English | |
Formulario de Instalación | Español | |
Account Configuration Form | English | |
Formulario de configuración de la cuenta | Español | |
Accounting – Direct Debit Form | English | |
SecureEMR - Formulario para Cambios y Configuraciones | English | |
SecureEMR - Formulario para la Creación de Nuevo Usuario | Español | |
Authorization to Use / Disclose Protected Health Information | English |
