CHANGE HEALTHCARE RESTORATION SURVEY

If you are using Waystar or RPA, you do not need to complete this survey.

If you have multiple directories on your server, please fill out a survey for each directory.

Emdeon Vision is being replaced with Optum Intelligent EDI (iEDI). Medent needs to provide Optum with the initial user for iEDI for the account creation. Additional users can be added later. Please only fill out one form per practice. If you already have an OHID, that will be used to log into iEDI but a survey still needs to be completed so that Medent knows to request an Optum account for you.

MEDENT Account #*


Directory (if applicable)


Practice Name*


Your Name*


Do you wish to have an iEDI account created?*