Submit Enrollment Application (2 minutes)
Upload Documents (4 minutes)
Upload Documents (4 minutes)
Complete Enrollment Checklist (3 minutes)
Complete Enrollment Checklist (3 minutes)
Add Payment Details (3 minutes)
Add Payment Details (3 minutes)
Associate Billing Provider (4 minutes)
Associate Billing Provider (4 minutes)
Associate Billing Agent (7 minutes)
Associate Billing Agent (7 minutes)
Associate MCO Plan (3 minutes)
Associate MCO Plan (3 minutes)
835/ERA Enrollment Form (5 minutes)
835/ERA Enrollment Form (5 minutes)
Add Mode of Claim Submission (6 minutes)
Add Mode of Claim Submission (6 minutes)
Add Additional Information (5 minutes)
Add Additional Information (5 minutes)