Submit Modification Request for Review (3 minutes)

Upload Documents (5 minutes)

Complete Modification Checklist (6 minutes)

Update Payment Details (4 minutes)

Update 835/ERA Enrollment Form (4 minutes)

View Servicing Provider Details (2 minutes)

Update MCO Plan Association (2 minutes)

Update Billing Provider Association (6 minutes)

Update License and Certifications (6 minutes)

Update Taxonomy Details (6 minutes)