Submit Modification Request for Review (3 minutes)

Upload Documents (5 minutes)

Complete Modification Checklist (4 minutes)

Update Payment Details (4 minutes)

Update Billing Agent Association (8 minutes)

Update Billing Provider Association (6 minutes)

Update MCO Plan Association (2 minutes)

View Servicing Provider Details (2 minutes)

Update 835/ERA Enrollment Form (4 minutes)

Update Mode of Claim Submission/EDI (6 minutes)