Need to add a new provider?

There's a form for that!

Now, you can complete an electronic form to add new providers.

Simply click the Support Tab on our website and fill out the New Provider Form. This will send your request directly to our Support Staff, eliminating the need to submit handwritten forms.

PERFECT PENMANSHIP

Let's face it -- handwritten forms can be difficult to decipher and there's a chance we could misread your information.

SAVE TIME

Stop filling out, filing and faxing forms by hand. Electronic forms are just more efficient...for both your staff and ours.