Contact Information

In order to better service your account in the event there are issues or
problems that need to be discussed, please supply contact information.
Please make sure your email address is correct so that we can contact you.
This email address will be our primary contact source for your account..

Tax ID, NPI and Facility Type

Your facility’s Tax ID (Employer Identification Number) and NPI Number are required for setting up your trial account and submission to some payers during transaction processing.

IMPORTANT: Please correctly enter the Tax ID and NPI Number to be sent with submissions to payers.

Business Demographics

Enter information about your business (practice or facility).

Providing Excellence Is Our Mission

After all, our success depends on yours.

9901 I.H. 10 West, Suite 800 San Antonio, TX 78230

800‐845‐0367 Ext. 701