Add Additional Information (5 minutes)
Add Mode of Claim Submission (6 minutes)
Add Mode of Claim Submission (6 minutes)
Add Locations (11 minutes)
Add Locations (11 minutes)
Add Basic Information (6 minutes)
Add Basic Information (6 minutes)
Overview: Enrolling as a Facility Agency Organization Provider (7 minutes)
Overview: Enrolling as a Facility Agency Organization Provider (7 minutes)
Submit Enrollment Application (2 minutes)
Submit Enrollment Application (2 minutes)
Upload Documents (4 minutes)
Upload Documents (4 minutes)
Complete Enrollment Checklist (4 minutes)
Complete Enrollment Checklist (4 minutes)
Add Payment Details (3 minutes)
Add Payment Details (3 minutes)
835/ERA Enrollment Form (5 minutes)
835/ERA Enrollment Form (5 minutes)